| John M Hernandez, Md Inc | |
|
1417 W Beverly Blvd Suite 101 Montebello CA 90640-4146 | |
| (323) 726-1109 | |
| Not Available |
| Full Name | John M Hernandez, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1417 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | John M Hernandez (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3237261109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Hernandez, Md Inc 10820 Beverly Blvd Suite A5 Pmb 157 Whittier CA 90601-2576 Ph: (323) 726-1109 | John M Hernandez, Md Inc 1417 W Beverly Blvd Suite 101 Montebello CA 90640-4146 Ph: (323) 726-1109 |
| NPI Number | 1487932554 |
|---|---|
| Provider Enumeration Date | 07/23/2011 |
| Last Update Date | 07/25/2011 |
| Medicare PECOS PAC ID | 7113182882 |
|---|---|
| Medicare Enrollment ID | O20120702000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487932554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A42641 (California) | Primary |
| Provider Name | John M Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073683546 PECOS PAC ID: 4183518277 Enrollment ID: I20040210000732 |
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