Individual
ANDREA GISSELLE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2023
Last updated
09/09/2025
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