Individual
CHRISTIAN ULYSSES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 W BROADWAY STE 1540, SAN DIEGO, CA 92101-3770
(619) 728-5065
Mailing address
9450 GILMAN DR # 60119, LA JOLLA, CA 92092-0102
(619) 728-5065
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/18/2025
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