Individual
RICHARD EDMUND HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
2051 MARENGO ST., LOS ANGELES, CA 90033
(323) 409-3124
(323) 441-8347
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
3844
CA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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