Individual
MARIA GUADALUPE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T. ASSISTANT
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-2776
Mailing address
16030 VENTURA BLVD, ENCINO, CA 91436-2731
(732) 210-3908
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
AT1791
CA
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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