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NPI Code Detail

MEDICARE: VIRIDIANA CRISTAL HERNANDEZ

MEDICARE: VIRIDIANA CRISTAL 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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1548706013
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRIDIANA CRISTAL HERNANDEZ
Provider Business Mailing Address
First Line : 225 S IVY AVE
Second Line :
City : MONROVIA
State : CA
Zip : 91016-2835
Country : US
Telephone Number : 323-351-7601
Fax Number :
Provider Business Practice Location Address
First Line : 320 PINE AVE STE 514
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-2309
Country : US
Telephone Number : 323-351-7601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2017
Last Update Date : 03/20/2026

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Directions to “ VIRIDIANA CRISTAL HERNANDEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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