Individual
ALYCIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-0602
(858) 534-2230
Mailing address
5818 VENTANA DR, FONTANA, CA 92336-5612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
05/01/2026
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