| Gian Hernandez D O, Inc. | |
|
23838 Valencia Blvd Ste 220 Valencia CA 91355-5609 | |
| (661) 755-9488 | |
| Not Available |
| Full Name | Gian Hernandez D O, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 23838 Valencia Blvd Ste 220, Valencia, California |
| Authorized Official Name and Position | Gian Hernandez (OWNER) |
| Authorized Official Contact | 6617559488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gian Hernandez D O, Inc. 23838 Valencia Blvd Ste 220 Valencia CA 91355-5609 Ph: (661) 755-9488 | Gian Hernandez D O, Inc. 23838 Valencia Blvd Ste 220 Valencia CA 91355-5609 Ph: (661) 755-9488 |
| NPI Number | 1497326169 |
|---|---|
| Provider Enumeration Date | 07/05/2021 |
| Last Update Date | 08/16/2021 |
| Medicare PECOS PAC ID | 6800285701 |
|---|---|
| Medicare Enrollment ID | O20211115003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497326169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gian Paolo Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740290535 PECOS PAC ID: 6901979020 Enrollment ID: I20080723000557 |
| Provider Name | Amy E Bontempo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700450566 PECOS PAC ID: 0648669150 Enrollment ID: I20211122001797 |
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