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NPI Code Detail

MEDICARE: LIZ KARIME HERNANDEZ GONZALEZ M.D.

MEDICARE: LIZ KARIME HERNANDEZ GONZALEZ M.D.
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
1207Q00000XFamily Medicine PhysicianA127667CA

General Provider Information

NPI Number : 1316237068
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZ KARIME HERNANDEZ GONZALEZ M.D.
Provider Business Mailing Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number : 916-983-8868
Fax Number : 916-983-8891
Provider Business Practice Location Address
First Line : 11634 FAIR OAKS BLVD
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-3771
Country : US
Telephone Number : 916-983-8868
Fax Number : 916-983-8891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2011
Last Update Date : 02/14/2024

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