| Alex Y Hernandez, Md Inc | |
|
1805 E Fir Ave Ste 101 Fresno CA 93720-3859 | |
| (559) 298-9600 | |
| (559) 298-9605 |
| Full Name | Alex Y Hernandez, Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1805 E Fir Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Bette Stanford (CEO) |
| Authorized Official Contact | 5594384500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Y Hernandez, Md Inc Po Box 25042 Fresno CA 93729-5042 Ph: (559) 892-4500 | Alex Y Hernandez, Md Inc 1805 E Fir Ave Ste 101 Fresno CA 93720-3859 Ph: (559) 298-9600 |
| NPI Number | 1881345171 |
|---|---|
| Provider Enumeration Date | 01/18/2022 |
| Last Update Date | 01/18/2022 |
| Medicare PECOS PAC ID | 1850770066 |
|---|---|
| Medicare Enrollment ID | O20220617002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881345171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alex Y Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720310592 PECOS PAC ID: 4486934460 Enrollment ID: I20180719003550 |
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