Individual
MR. PAUL ROBERT HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT, CMT, MMC, CPT
Contact information
Practice address
2516 MATHEWS AVE APT 1, REDONDO BEACH, CA 90278-3239
(310) 702-9659
Mailing address
2516 MATHEWS AVE APT 1, REDONDO BEACH, CA 90278-3239
(310) 702-9659
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
95463
CA
225700000X
Massage Therapist
95463
CA
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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