| Mr Vicente S Hernandez, LMFT | |
|
5300 Angeles Vista Blvd, View Park, CA 90043-1648 | |
| (323) 295-4555 | |
| (323) 508-0150 |
| Full Name | Mr Vicente S Hernandez |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 5300 Angeles Vista Blvd, View Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700032547 | NPI | - | NPPES |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vicente S Hernandez, LMFT Po Box 141, San Dimas, CA 91773-0141 Ph: () - | Mr Vicente S Hernandez, LMFT 5300 Angeles Vista Blvd, View Park, CA 90043-1648 Ph: (323) 295-4555 |
Norma Herrera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5300 Angeles Vista Blvd, View Park, CA 90043 Phone: 323-295-4555 Fax: 323-296-0424 | |
Miss Kristal Alexis Audoma, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5300 Angeles Vista Blvd, View Park, CA 90043 Phone: 323-295-4555 Fax: 323-508-0150 | |
Cinthia G Ibarra, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5300 Angeles Vista Blvd, View Park, CA 90043 Phone: 323-919-3252 | |
Patricia Carrillo Urena, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3751 Stocker St, View Park, CA 90008 Phone: 368-029-8323 | |
Mrs. Shannon Suzanne Wolfe, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5300 Angeles Vista Blvd, View Park, CA 90043 Phone: 323-295-4555 | |
Meghan Gorden, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5300 Angeles Vista Blvd, View Park, CA 90043 Phone: 323-295-4555 | |
Marilynn Hernandez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5300 Angeles Vista Blvd, View Park, CA 90043 Phone: 323-295-4555 |