Laura Sofia Hernandez
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1457992000
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1457992000
- Entity type
- Individual (NPI-1)
- Name
- Laura Sofia Hernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2019
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
6762 Lexington AveLos Angeles, CA 90038-1217
Phone 323-380-7590
Mailing address
6762 Lexington AveLos Angeles, CA 90038-1217
Phone 323-380-7590
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