Luis Andre Bernal Hernandez
Rehabilitation Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1669196523
StatusActive
Last updated in NPPESFeb 4, 2026
Details
- NPI
- 1669196523
- Entity type
- Individual (NPI-1)
- Name
- Luis Andre Bernal Hernandez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Feb 4, 2026
- Last updated
- Feb 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
Po Box 710145San Diego, CA 92171-0145
Phone 619-346-4020
Mailing address
Po Box 710145San Diego, CA 92171-0145
Phone 619-346-4020
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