Individual
MS. ANGIE RENEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Mailing address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 217668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSC0015
STAFF CODE
CA
Enumeration date
03/05/2007
Last updated
06/02/2025
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