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NPI Code Detail

MEDICARE: MISS LILLIAN HERNANDEZ

MEDICARE: MISS LILLIAN 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
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1609459460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LILLIAN HERNANDEZ
Provider Business Mailing Address
First Line : 1722 S LEWIS RD
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8520
Country : US
Telephone Number : 805-366-4210
Fax Number :
Provider Business Practice Location Address
First Line : 751 E DAILY DR STE 320
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-0772
Country : US
Telephone Number : 805-366-4310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2021
Last Update Date : 11/13/2023

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Directions to “ MISS LILLIAN HERNANDEZ ” Practice Location

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