Individual
DR. DAVID J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7012 RESEDA BLVD STE 100, RESEDA, CA 91335-4219
(747) 265-6423
(747) 265-6424
Mailing address
7012 RESEDA BLVD STE 100, RESEDA, CA 91335-4219
(747) 265-6423
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
G48343
CA
207R00000X
Internal Medicine Physician
Primary
G48343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70769F
CDC PROGRAM GRP #
CA
01
—
EAP70468F
PROGRAM GRP #
CA
05
—
FHC70769F
—
CA
01
—
HAP70769F
PROG GRP #
CA
01
—
P00275711
MEDICARE RAILROAD #
CA
Enumeration date
08/10/2006
Last updated
11/27/2024
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