| Oscar Hernandez Md Medical Corporation | |
|
139 E Putnam Ave Porterville CA 93257-3832 | |
| (559) 784-2176 | |
| (559) 784-2652 |
| Full Name | Oscar Hernandez Md Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 139 E Putnam Ave, Porterville, California |
| Authorized Official Name and Position | Rita Nye (BILLING SUPER) |
| Authorized Official Contact | 5597831181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oscar Hernandez Md Medical Corporation 139 E Putnam Ave Porterville CA 93257-3832 Ph: (559) 784-2176 | Oscar Hernandez Md Medical Corporation 139 E Putnam Ave Porterville CA 93257-3832 Ph: (559) 784-2176 |
| NPI Number | 1124176482 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 0941343073 |
|---|---|
| Medicare Enrollment ID | O20100211000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124176482 | NPI | - | NPPES |
| 00G721010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Oscar Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598790479 PECOS PAC ID: 9133262264 Enrollment ID: I20100211000283 |
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