Individual
ASHLEY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13920 CITY CENTER DR, CHINO HILLS, CA 91709-5432
(213) 660-6540
Mailing address
PO BOX 50608, LOS ANGELES, CA 90050-0608
(213) 660-6540
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
CA
Enumeration date
04/10/2019
Last updated
04/10/2019
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