Individual
DIEGO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(323) 295-4555
Mailing address
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043-1648
(323) 295-4555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
F2969849
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/08/2019
Last updated
03/07/2023
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