Individual
DESTINY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 ANGELES VISTA BLVD., LOS ANGELES, CA 90043
(310) 995-6632
Mailing address
3355 N WHITE AVE, PO BOX 7792, LA VERNE, CA 91750-6225
(626) 773-6241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
04/28/2025
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