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NPI Code Detail

MEDICARE: VALENTIN HERNANDEZ M.D.

MEDICARE: VALENTIN HERNANDEZ M.D.
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
1207R00000XInternal Medicine PhysicianG40229CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1330118591OTHERCAFEIN
20623606OTHERCACHAMPUS OR CHAMPVA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871520320
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALENTIN HERNANDEZ M.D.
Provider Business Mailing Address
First Line : 13440 HAWTHORNE BLVD
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-5806
Country : US
Telephone Number : 310-219-0941
Fax Number : 310-219-1482
Provider Business Practice Location Address
First Line : 13440 HAWTHORNE BLVD
Second Line :
City : HAWTHORNE
State : CA
Zip : 90250-5806
Country : US
Telephone Number : 310-219-0941
Fax Number : 310-219-1482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/20/2008

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Directions to “ VALENTIN HERNANDEZ M.D.” Practice Location

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