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NPI Code Detail

MEDICARE: ADRIANE HERNANDEZ

MEDICARE: ADRIANE 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 Therapist80810CA

General Provider Information

NPI Number : 1629208087
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANE HERNANDEZ
Provider Business Mailing Address
First Line : 426 S SAN PEDRO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2119
Country : US
Telephone Number : 213-633-2950
Fax Number :
Provider Business Practice Location Address
First Line : 426 S SAN PEDRO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2119
Country : US
Telephone Number : 213-633-2950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2009
Last Update Date : 06/09/2016

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Directions to “ ADRIANE HERNANDEZ ” Practice Location

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