MIGUEL HERNANDEZ

SANTA MONICA, CA
NPI1558842567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1226930416)
Enumeration Date2018-08-27
Last Update Date2018-08-27
Business Address
MIGUEL HERNANDEZ R1226930416
907 PICO BLVD
SANTA MONICA, CA 90405-1326
Phone number: 310-314-6200
Mailing Address
MIGUEL HERNANDEZ R1226930416
514 W ARBOR VITAE ST APT 2
INGLEWOOD, CA 90301-3155
Phone number: 310-251-2441