Bertha Gladis Hernandez

Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1962067710

StatusActive

Last updated in NPPESMay 7, 2019

Details

NPI: 1962067710
Entity type: Individual (NPI-1)
Name: Bertha Gladis Hernandez
Sex: Female
Sole proprietor: No
Enumeration date: May 7, 2019
Last updated: May 7, 2019

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
106H00000X	Marriage & Family Therapist	90827	CA	Yes

Practice location

1721 Griffin Ave
Los Angeles, CA 90031-3312

Phone 323-221-4134

Mailing address

1721 Griffin Ave
Los Angeles, CA 90031-3312

Phone 323-221-4134

Other practice locations

1721 Griffin Ave
Los Angeles, CA 90031-3312

Phone 323-221-4134

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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