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NPI Code Detail

MEDICARE: CHRISTOPHER JOHN HERNANDEZ

MEDICARE: CHRISTOPHER JOHN 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
1103K00000XBehavior Analyst1-26-89769CA

General Provider Information

NPI Number : 1619622024
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER JOHN HERNANDEZ
Provider Business Mailing Address
First Line : 6235 RIVER CREST DR STE O
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-0758
Country : US
Telephone Number : 866-727-8274
Fax Number :
Provider Business Practice Location Address
First Line : 6235 RIVER CREST DR STE O
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-0758
Country : US
Telephone Number : 866-727-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 05/26/2026

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Directions to “ CHRISTOPHER JOHN HERNANDEZ ” Practice Location

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