Individual
ELAINE CERENO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
4201 WILSHIRE BLVD STE 334, LOS ANGELES, CA 90010-3611
(323) 935-5200
Mailing address
4201 WILSHIRE BLVD STE 334, LOS ANGELES, CA 90010-3611
(323) 935-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010178
CA
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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