MEDICARE: RIGOBERTO LEON 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
1	171400000X	Health & Wellness Coach		CA

General Provider Information

NPI Number	:	1265312573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIGOBERTO LEON HERNANDEZ

Provider Business Mailing Address
First Line	:	1601 MONTROSE LN
Second Line	:
City	:	LINCOLN
State	:	CA
Zip	:	95648-3231
Country	:	US
Telephone Number	:	530-889-8020
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 NEVADA ST
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95603-3720
Country	:	US
Telephone Number	:	530-889-8020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “ RIGOBERTO LEON HERNANDEZ ” Practice Location

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