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NPI Code Detail

MEDICARE: IRMA HERNANDEZ

MEDICARE: IRMA HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker121534CA

General Provider Information

NPI Number : 1194853192
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRMA HERNANDEZ
Provider Business Mailing Address
First Line : 1040 ELM AVE STE 206
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3266
Country : US
Telephone Number : 562-624-4988
Fax Number :
Provider Business Practice Location Address
First Line : 1040 ELM AVE STE 206
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3266
Country : US
Telephone Number : 626-244-9885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 05/27/2025

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Directions to “ IRMA HERNANDEZ ” Practice Location

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