Lisette Hernandez, is a
Rehabilitation Practitioner based in San Diego, California. Lisette Hernandez is licensed to practice in * (Not Available) (license number ) and her current practice location is
7917 Ostrow St Ste A, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(858) 300-8282.
NPI number for Lisette Hernandez is 1225773997 and her current mailing address is 7917 Ostrow St Ste A, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225773997.
Healthcare Provider's Profile
Full Name | Lisette Hernandez |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 7917 Ostrow St Ste A, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225773997
- Provider Enumeration Date: 04/28/2022
- Last Update Date: 09/27/2023
Medical Identifiers
Medical identifiers for Lisette Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225773997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106S00000X | Behavior Technician | RBT-22-213233 (California) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Lisette 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 |
Lisette Hernandez, 7917 Ostrow St Ste A, San Diego, CA 92111-3604 Ph: (858) 300-8282 | Lisette Hernandez, 7917 Ostrow St Ste A, San Diego, CA 92111-3604 Ph: (858) 300-8282 |
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