| Hernandez Chiropractic & Wellness Inc. | |
|
4401 Atlantic Ave Ste 480 Long Beach CA 90807-2265 | |
| (562) 508-1557 | |
| Not Available |
| Full Name | Hernandez Chiropractic & Wellness Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4401 Atlantic Ave Ste 480, Long Beach, California |
| Authorized Official Name and Position | Mireya Hernandez (OWNER) |
| Authorized Official Contact | 5625081557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernandez Chiropractic & Wellness Inc. 5536 Lime Ave Apt A Long Beach CA 90805-5581 Ph: (562) 508-1557 | Hernandez Chiropractic & Wellness Inc. 4401 Atlantic Ave Ste 480 Long Beach CA 90807-2265 Ph: (562) 508-1557 |
| NPI Number | 1124734397 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/30/2023 |
| Medicare PECOS PAC ID | 4880189844 |
|---|---|
| Medicare Enrollment ID | O20251217004365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124734397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Mireya Hernandez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295060135 PECOS PAC ID: 4688827611 Enrollment ID: I20121226000399 |
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