Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A44210 | CA |
NPI | 1023068525 |
---|---|
Provider Name | Dr. Maria S. Hernandez |
First Address | Visalia, CA 93291-6331 |
Second Address | Porterville, CA 93257-5839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 11/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E92249 | (02) | CA |