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Individual

BRYAN HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(310) 666-6055
Mailing address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(310) 666-6055

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A163637
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/03/2016
Last updated
10/27/2023
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