Individual
DR. DAVID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6134 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2923
(323) 589-3381
Mailing address
6134 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-2923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34255
CA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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