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NPI Code Detail

MEDICARE: ANNA HERNANDEZ

MEDICARE:   ANNA  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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326987538
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA HERNANDEZ
Provider Business Mailing Address
First Line : 1255 KENDALL RD
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-8750
Country : US
Telephone Number : 805-781-3535
Fax Number :
Provider Business Practice Location Address
First Line : 1255 KENDALL RD
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-8750
Country : US
Telephone Number : 805-781-3535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ ANNA HERNANDEZ ” Practice Location

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