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Samantha Brianna Hernandez

Day Training/Habilitation Specialist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1609657451
StatusActive
Last updated in NPPESMay 6, 2025

Details

NPI
1609657451
Entity type
Individual (NPI-1)
Name
Samantha Brianna Hernandez
Sex
Female
Sole proprietor
No
Enumeration date
Oct 9, 2023
Certification date
May 6, 2025
Last updated
May 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes
172V00000X Community Health Worker–CA

Practice location

5100 S Eastern Ave
Los Angeles, CA 90040-2950

Phone 323-647-6740

Mailing address

5100 S Eastern Ave
Los Angeles, CA 90040-2950

Phone 323-647-6740

Other practice locations

6635 Florence Ave Ste 101
Bell Gardens, CA 90201-4968

Phone 562-806-5000

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