Juan Carlos Carlos Hernandez, LCSW | |
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | |
(818) 869-7263 | |
(818) 869-7130 |
Full Name | Juan Carlos Carlos Hernandez |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 11333 Sepulveda Blvd, Mission Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558872655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Mailing Address | Practice Location Address |
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Juan Carlos Carlos Hernandez, LCSW Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Juan Carlos Carlos Hernandez, LCSW 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 869-7263 |
Theresa U Bennett, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd Ste 170, Mission Hills, CA 91345 Phone: 818-746-2235 | |
Ana Elena Aldana, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 Phone: 818-745-2515 Fax: 818-691-2377 | |
Roseann C Figueroa, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 10347 Peach Ave, Mission Hills, CA 91345 Phone: 818-457-8746 | |
Sandra Valdovinos-heredia, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11333 N Sepulvelda Blvd, Mission Hills, CA 91345 Phone: 818-869-7263 Fax: 818-869-7130 | |
Sarah Taylor, CRC, SUDCC II, MRAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd Ste 370, Mission Hills, CA 91345 Phone: 818-221-3076 | |
Janet A Bodozian, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15336 Devonshire St # 6, Mission Hills, CA 91345 Phone: 323-879-9176 | |
Emily Elizabeth Wessel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd Ste 370, Mission Hills, CA 91345 Phone: 202-431-4202 |