Angie Janet Hernandez, is a
Peer Specialist based in Long Beach, California. Angie Janet Hernandez is licensed to practice in California (license number MPSS-INZGJC) and her current practice location is
2101 Magnolia Ave, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 218-1868.
NPI number for Angie Janet Hernandez is 1154180263 and her current mailing address is 20350 Anza Ave Apt 4, Torrance, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154180263.
Healthcare Provider's Profile
| Full Name | Angie Janet Hernandez |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2101 Magnolia Ave, Long Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154180263
- Provider Enumeration Date: 03/19/2024
- Last Update Date: 08/21/2026
Medical Identifiers
Medical identifiers for Angie Janet Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154180263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (NU) | Secondary |
| 225800000X | Recreation Therapist | (NU) | Secondary |
| 175T00000X | Peer Specialist | MPSS-INZGJC (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angie Janet Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angie Janet Hernandez,
20350 Anza Ave Apt 4,
Torrance, CA 90503-2357
Ph: (310) 666-7634 | Angie Janet Hernandez,
2101 Magnolia Ave,
Long Beach, CA 90806-4521
Ph: (562) 218-1868 |
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