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NPI Code Detail

MEDICARE: BARAK HERNANDEZ

MEDICARE: BARAK 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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1609440304
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARAK HERNANDEZ
Provider Business Mailing Address
First Line : 3855 N WEST AVE STE 103-110
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-334-6433
Fax Number :
Provider Business Practice Location Address
First Line : 3855 N WEST AVE STE 103-110
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-334-6433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2021
Last Update Date : 04/17/2026

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Directions to “ BARAK HERNANDEZ ” Practice Location

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