Hernandez, Gabriel
Hernandez, Gabriel is an sole proprietor health care provider with primary practice located at 1141 W Redondo Beach Blvd Suite 402, Gardena CA 90247-3586. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hernandez, Gabriel can be contacted via phone (310) 329-8631.Contact Information
Primary practice address
1141 W Redondo Beach Blvd Suite 402
Gardena CA 90247-3586
Phone: (310) 329-8631
Fax: (310) 329-8636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PA17831 | California |
Profile Details
| NPI number | 1053425132 |
|---|---|
| LBN Legal business name | Hernandez, Gabriel |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053425132 | NPPES |
| California | Other | PA17831 | PA LICENSE |
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