Individual
MARICELA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 LEMOYNE ST, LOS ANGELES, CA 90026-3206
(213) 483-6335
Mailing address
13314 ROSELLE AVE, HAWTHORNE, CA 90250-6122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10867
CA
101YP2500X
Professional Counselor
Primary
22482
CA
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
12/20/2021
Last updated
04/29/2026
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