Individual
BRYAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 BAIRD AVE, RESEDA, CA 91335-4150
(818) 342-2897
Mailing address
256 W HOWARD ST, PASADENA, CA 91103-1528
(626) 354-0096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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