| Edgar Hernandez, DPT | |
|
1132 Leland Ave, Tulare, CA 93274-7811 | |
| (559) 684-0611 | |
| (559) 684-0612 |
| Full Name | Edgar Hernandez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1132 Leland Ave, Tulare, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255988200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 297189 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Hernandez, DPT 701 W Center Ave, Visalia, CA 93291-6015 Ph: (559) 713-6806 | Edgar Hernandez, DPT 1132 Leland Ave, Tulare, CA 93274-7811 Ph: (559) 684-0611 |
Simran K Dhillon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 680 E Merritt Ave, Tulare, CA 93274 Phone: 559-686-8581 | |
Mr. Alfredo Zara Ilagan Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1132 Martin Luther King Jr Ave Apt B, Tulare, CA 93274 Phone: 626-272-7220 | |
Derek Hansen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1132 Leland Ave, Tulare, CA 93274 Phone: 559-684-0611 Fax: 559-684-0612 | |
Phillip Bernays Kaestner, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1132 Leland Ave, Tulare, CA 93274 Phone: 559-684-0611 Fax: 559-684-0612 | |
Tatiana Deeff, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1425 E Prosperity Ave, Tulare, CA 93274 Phone: 559-631-4588 Fax: 559-271-6920 | |
Alexandria R Cordeniz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1132 Leland Ave, Tulare, CA 93274 Phone: 559-684-1200 Fax: 559-684-0612 |