Hernandez, Sylvia Malissa
Hernandez, Sylvia Malissa is an individual health care provider with primary practice located at 1889 W Redlands Blvd Bldg 9 , Redlands CA 92373. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Hernandez, Sylvia Malissa can be contacted via phone (909) 501-5167.Contact Information
Primary practice address
1889 W Redlands Blvd Bldg 9
Redlands CA 92373
Phone: (909) 501-5167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 330015CN | California |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CI16720518 | California |
Profile Details
| NPI number | 1881857944 |
|---|---|
| LBN Legal business name | Hernandez, Sylvia Malissa |
| Credentials | CADC 1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2008 |
| Last updated | Sep 30th, 2019 - about 6 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 | 1881857944 | NPPES |
| California | Other | 33352 | DRUG MEDI-CAL |
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