Individual
CHRISTOPHER G HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
15500 ESPOLA RD, POWAY, CA 92064-2207
(858) 748-0245
Mailing address
17993 MIRASOL DR, SAN DIEGO, CA 92128-1220
(858) 521-8814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
CA
Enumeration date
01/18/2021
Last updated
01/18/2021
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