Individual
ROSANA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3529 FIRESTONE BLVD, SOUTH GATE, CA 90280-3031
(323) 566-1700
Mailing address
PO BOX 532, SOUTH GATE, CA 90280-0532
(323) 566-1700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
CA
Other
Enumeration date
12/27/2012
Last updated
07/23/2013
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