Organization
DRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D.
Active
Parent organization
DRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRS. EDWARD P. AND DIANE M. HERNANDEZ, O.D.
Authorized official
DR. DIANE MOSSER HERNANDEZ OD (WONER)
(626) 391-2021
Entity
Organization
Contact information
Practice address
6001 PACIFIC BLVD STE 128, HUNTINGTON PARK, CA 90255-2950
(323) 923-9001
(323) 923-9345
Mailing address
6001 PACIFIC BLVD STE 128, HUNTINGTON PARK, CA 90255-2950
(323) 923-9001
(323) 923-9345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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