| David J. Hernandez Md A Professional Medical Corporation | |
|
7012 Reseda Blvd Ste 100 Reseda CA 91335-4219 | |
| (747) 265-6423 | |
| (747) 265-6424 |
| Full Name | David J. Hernandez Md A Professional Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 7012 Reseda Blvd Ste 100, Reseda, California |
| Authorized Official Name and Position | David Jacinto Hernandez (DIRECTOR) |
| Authorized Official Contact | 8184038728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Hernandez Md A Professional Medical Corporation 7012 Reseda Blvd Ste 100 Reseda CA 91335-4219 Ph: (747) 265-6423 | David J. Hernandez Md A Professional Medical Corporation 7012 Reseda Blvd Ste 100 Reseda CA 91335-4219 Ph: (747) 265-6423 |
| NPI Number | 1912417007 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 11/27/2024 |
| Medicare PECOS PAC ID | 8022377829 |
|---|---|
| Medicare Enrollment ID | O20180124003359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912417007 | NPI | - | NPPES |
| 00G483431 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | G48343 (California) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | David J Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396756912 PECOS PAC ID: 4486812922 Enrollment ID: I20120423000555 |
| Provider Name | Maria Therese Dela Merced |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255971743 PECOS PAC ID: 1153779376 Enrollment ID: I20231129001283 |
Clinica De La Merced Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7012 Reseda Blvd # 100, Reseda, CA 91335 Phone: 747-265-6423 Fax: 747-265-6424 | |
Bfm Visits Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18305 Sherman Way Ste 3, Reseda, CA 91335 Phone: 818-477-0798 | |
Higher Doctor's Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19231 Sherman Way Unit 23, Reseda, CA 91335 Phone: 818-220-4898 | |
Rst Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way Ste 210, Reseda, CA 91335 Phone: 818-796-2920 | |
Med Nation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7012 Reseda Blvd., Suite A, Reseda, CA 91335 Phone: 818-776-1171 Fax: 818-776-1191 | |
Medical Resource Center Of Tarzana, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18445 Vanowen St, Reseda, CA 91335 Phone: 818-708-8484 Fax: 818-881-7451 |