MEDICARE: ALBA HERNANDEZ M.S.

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
1	106H00000X	Marriage & Family Therapist	163406	CA
2	103K00000X	Behavior Analyst	1-18-31186	CA

General Provider Information

NPI Number	:	1861938292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBA HERNANDEZ M.S.

Provider Business Mailing Address
First Line	:	1110 N VIRGIL AVE STE 92002
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2016
Country	:	US
Telephone Number	:	951-337-3016
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 N VIRGIL AVE STE 92002
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-2016
Country	:	US
Telephone Number	:	951-337-3016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2017
Last Update Date	:	06/20/2026

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Directions to “ ALBA HERNANDEZ M.S.” Practice Location

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