Most Relevant Information
Provider Data
| NPI Number: | 1003365941 |
| Provider Name: | BRYAN HERNANDEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2016 |
| Last Updated: | 10/27/2023 |
Provider Practice Location
6041 CADILLAC AVE
LOS ANGELES
CA
900341702
Practice Location Phone/Fax
| Phone: | 3106666055 |
| Fax: |
Provider Mailing Location
710 LAWRENCE EXPY
SANTA CLARA
CA
950515173
Provider Mailing Phone/Fax
| Phone: | 3106666055 |
| Fax: |