| Dr David J Hernandez, MD | |
|
7012 Reseda Blvd Ste 100, Reseda, CA 91335-4219 | |
| (747) 265-6423 | |
| (747) 265-6424 |
| Full Name | Dr David J Hernandez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 7012 Reseda Blvd Ste 100, Reseda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396756912 | NPI | - | NPPES |
| HAP70769F | Other | CA | PROG GRP # |
| FHC70769F | Medicaid | CA | |
| P00275711 | Other | CA | MEDICARE RAILROAD # |
| BCP70769F | Other | CA | CDC PROGRAM GRP # |
| EAP70468F | Other | CA | PROGRAM GRP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | G48343 (California) | Secondary |
| 207R00000X | Internal Medicine | G48343 (California) | Primary |
| Entity Name | David J Hernandez Md A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912417007 PECOS PAC ID: 8022377829 Enrollment ID: O20180124003359 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David J Hernandez, MD 7012 Reseda Blvd Ste 100, Reseda, CA 91335-4219 Ph: (747) 265-6423 | Dr David J Hernandez, MD 7012 Reseda Blvd Ste 100, Reseda, CA 91335-4219 Ph: (747) 265-6423 |
Vartan Daniel Papazian, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18040 Sherman Way Ste 210, Reseda, CA 91335 Phone: 818-371-0338 | |
Dr. Leo Polosajian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7640 Tampa Ave Ste 101, Reseda, CA 91335 Phone: 818-718-1600 Fax: 818-343-1612 | |
Dr. Ilya Rachman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Canby Ave Ste 7, Reseda, CA 91335 Phone: 818-757-1919 Fax: 818-757-3134 | |
Dr. Shahin Delkhah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn Billing Department, Reseda, CA 91335 Phone: 818-774-3354 | |
Dr. Edidiong Nsidibe Ikpe, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7236 Amigo Ave, Reseda, CA 91335 Phone: 203-500-5317 | |
Dr. Mai Tuyet Phan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18625 Sherman Way, Suite #104, Reseda, CA 91335 Phone: 818-342-8171 Fax: 818-342-8173 | |
Noachim Marco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Reseda, CA 91335 Phone: 818-774-3032 Fax: 818-774-5919 |