Individual
JUAN CARLOS HERNANDEZ PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8141 DE PALMA ST, DOWNEY, CA 90241-5102
(562) 869-7306
Mailing address
15305 TOBARRA RD, FONTANA, CA 92337-0978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018330
CA
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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