| Mr Jose Luis Hernandez, MD | |
|
4418 Vineland Ave Ste 102, Toluca Lake, CA 91602-3457 | |
| (818) 842-7145 | |
| (818) 953-2839 |
| Full Name | Mr Jose Luis Hernandez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 4418 Vineland Ave Ste 102, Toluca Lake, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912202938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A115246 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Preferred Choice Home Health Care, Inc | Reseda, CA | Home health agency |
| Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
| Burbank Healthcare & Rehab | Burbank, CA | Nursing home |
| Alameda Care Center | Burbank, CA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premiere Medical Center Of Burbank, Inc | 4688709744 | 5 |
| Entity Name | Premiere Medical Center Of Burbank, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831329218 PECOS PAC ID: 4688709744 Enrollment ID: O20100316000142 |
| Entity Name | St Joseph Hospitalist Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396166971 PECOS PAC ID: 5496988578 Enrollment ID: O20140424001661 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jose Luis Hernandez, MD 4418 Vineland Ave Ste 102, Toluca Lake, CA 91602-3457 Ph: (818) 842-7145 | Mr Jose Luis Hernandez, MD 4418 Vineland Ave Ste 102, Toluca Lake, CA 91602-3457 Ph: (818) 842-7145 |
Mr. Michael D. Marsh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4418 Vineland Ave Ste 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-842-8279 |