Individual
EDGARDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1426 FILLMORE SUITE 303, SAN FRANCISCO, CA 94115
(415) 202-9770
(415) 202-9771
Mailing address
1426 FILLMORE ST STE 303, SAN FRANCISCO, CA 94115-4164
(415) 202-9770
(415) 202-9771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
CA
Enumeration date
08/30/2017
Last updated
07/21/2022
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