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NPI Code Detail

MEDICARE: DAVID HERNANDEZ LVN

MEDICARE: DAVID HERNANDEZ LVN
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
1164X00000XLicensed Vocational Nurse723133CA

General Provider Information

NPI Number : 1265358873
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID HERNANDEZ LVN
Provider Business Mailing Address
First Line : 837 HERBERT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90063-1737
Country : US
Telephone Number : 562-552-3808
Fax Number :
Provider Business Practice Location Address
First Line : 13300 GARDEN GROVE BLVD
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-2207
Country : US
Telephone Number : 714-468-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ DAVID HERNANDEZ LVN” Practice Location

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