Individual
DR. ANTHONY CHARLES HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5170
(818) 705-2595
Mailing address
5554 POPLAR BLVD, LOS ANGELES, CA 90032-2450
(323) 221-3152
(323) 221-3152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A74599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A745990
—
CA
Enumeration date
06/14/2006
Last updated
07/08/2007
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