Individual
JORGE LUIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 E ELK AVE APT 7, GLENDALE, CA 91205-1375
(323) 893-9415
Mailing address
1140 E ELK AVE APT 7, GLENDALE, CA 91205-1375
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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