Organization
DRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D.
Active
Other names
Drs. Edward P. and Diane M. Hernandez, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE MOSSER HERNANDEZ O.D. (OWNER)
(626) 359-8145
Entity
Organization
Contact information
Practice address
1235 BUENA VISTA ST, DUARTE, CA 91010-2408
(626) 359-8145
(626) 359-4116
Mailing address
1235 BUENA VISTA ST, DUARTE, CA 91010-2408
(626) 359-8145
(626) 359-4116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
08738T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005310
—
CA
Enumeration date
05/22/2007
Last updated
03/19/2014
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