Individual
JESSICA E HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3536 SPARLING ST, SAN DIEGO, CA 92115-6905
(619) 940-8546
Mailing address
3536 SPARLING ST, SAN DIEGO, CA 92115-6905
(619) 940-8546
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
1056704
CA
2471C3401X
Computed Tomography Radiologic Technologist
1056704
CA
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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