Hernandez, Elisha Janell

Hernandez, Elisha Janell is an sole proprietor health care provider with primary practice located at 855 3Rd Ave Ste 1110 , Chula Vista CA 91911-1350. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Hernandez, Elisha Janell can be contacted via phone (619) 934-5770.

Contact Information

Primary practice address
855 3Rd Ave Ste 1110 Chula Vista CA 91911-1350
Phone: (619) 934-5770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 613945 California
Nursing Service Providers / Registered Nurse 163W00000X 613945 California

Profile Details

NPI number 1013474741
LBN Legal business name Hernandez, Elisha Janell
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2019
Last updated May 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013474741 NPPES
California MEDICAID 613945

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