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Jed Hernandez

NPI 1134887029 · on the registry since 2021 · sole proprietor

Practice

Address
1088 Ohio Ave Apt 2
Long Beach, CA 90804
Phone
(310) 408-3951

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California