Organization
DAVID J. HERNANDEZ MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JACINTO HERNANDEZ MD (DIRECTOR)
(818) 403-8728
Entity
Organization
Contact information
Practice address
7012 RESEDA BLVD STE 100, RESEDA, CA 91335-4219
(747) 265-6423
(747) 265-6424
Mailing address
7012 RESEDA BLVD STE 100, RESEDA, CA 91335-4219
(747) 265-6423
(747) 265-6424
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G48343
CA
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G483431
—
CA
Enumeration date
10/03/2017
Last updated
11/27/2024
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