Gustavo Hernandez, MS, CMD
Radiologic Technologist, Radiation Therapy in Modesto, CA. Individual provider (NPI-1).
NPI number1902732753
StatusActive
Last updated in NPPESJun 19, 2026
Details
- NPI
- 1902732753
- Entity type
- Individual (NPI-1)
- Name
- Gustavo Hernandez
- Credential
- MS, CMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2026
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471R0002X | Radiologic Technologist, Radiation Therapy | – | CA | Yes |
Practice location
1700 Coffee RdModesto, CA 95355-2803
Phone 209-572-7237
Mailing address
1700 Coffee RdModesto, CA 95355-2803
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