Gina Hernandez, is a
Psychologist - Clinical based in Riverside, California. Gina Hernandez is licensed to practice in California (license number 94028528) and her current practice location is
3380 La Sierra Ave Ste 104-142, Riverside, California. She can be reached at her office (for appointments etc.) via phone at
(818) 331-6961.
NPI number for Gina Hernandez is 1740691757 and her current mailing address is 3380 La Sierra Ave Ste 104-142, Riverside, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740691757.
Healthcare Provider's Profile
| Full Name | Gina Hernandez |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 3380 La Sierra Ave Ste 104-142, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740691757
- Provider Enumeration Date: 05/13/2014
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Gina Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740691757 | NPI | - | NPPES |
| 01536011 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 94028528 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gina Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gina Hernandez,
3380 La Sierra Ave Ste 104-142,
Riverside, CA 92503-5271
Ph: (818) 331-6961 | Gina Hernandez,
3380 La Sierra Ave Ste 104-142,
Riverside, CA 92503-5271
Ph: (818) 331-6961 |
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