MEDICARE: DANIEL HERNANDEZ JR.

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	106H00000X	Marriage & Family Therapist	160246	CA

General Provider Information

NPI Number	:	1538012950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL HERNANDEZ JR.

Provider Business Mailing Address
First Line	:	28693 OLD TOWN FRONT ST APT 208
Second Line	:
City	:	TEMECULA
State	:	CA
Zip	:	92590-2788
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 HARDING ST STE 100
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-1818
Country	:	US
Telephone Number	:	760-500-3325
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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