Raisa Hernandez, is a
Rehabilitation Practitioner based in Culver City, California. Raisa Hernandez is licensed to practice in * (Not Available) (license number ) and her current practice location is
9808 Venice Blvd Ste 700, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 945-3350.
NPI number for Raisa Hernandez is 1053914689 and her current mailing address is 9808 Venice Blvd Ste 700, Culver City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053914689.
Healthcare Provider's Profile
Full Name | Raisa Hernandez |
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Gender | Female |
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Speciality | Rehabilitation Practitioner |
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Location | 9808 Venice Blvd Ste 700, Culver City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053914689
- Provider Enumeration Date: 11/17/2020
- Last Update Date: 06/15/2023
Medical Identifiers
Medical identifiers for Raisa Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053914689 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 98063 (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. Raisa 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 |
Raisa Hernandez, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350 | Raisa Hernandez, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350 |
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