Michael Erik Hernandez, DO
Family Medicine in Garden Grove, CA. Individual provider (NPI-1).
NPI number1790282903
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1790282903
- Entity type
- Individual (NPI-1)
- Name
- Michael Erik Hernandez
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2018
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A18072 | CA | Yes |
Practice location
12942 Harbor BlvdGarden Grove, CA 92840-5809
Phone 714-705-2120
Mailing address
12942 Harbor BlvdGarden Grove, CA 92840-5809
Phone 714-705-2120
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