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Marcelo Omar Hernandez

Rehabilitation Practitioner in North Hills, CA. Individual provider (NPI-1).

NPI number1154601367
StatusActive
Last updated in NPPESAug 18, 2011

Details

NPI
1154601367
Entity type
Individual (NPI-1)
Name
Marcelo Omar Hernandez
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 18, 2011
Last updated
Aug 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

15317 Rayen St
North Hills, CA 91343-5117

Phone 818-892-4323 · Fax 818-893-4509

Mailing address

15317 Rayen St
North Hills, CA 91343-5117

Phone 818-892-4323 · Fax 818-893-4509

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