Bruno Hernandez

NPI 1467724724 · on the registry since 2012 · sole proprietor

Practice

Address: 13333 Palmdale Rd
Victorville, CA 92392
Phone: (760) 952-9192
Fax: (760) 241-8911
Organisation at this address: Vanessa Villa
Phoenix House Orange County, Inc.
St. John Of God Health Care Services
St. John Of God Health Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 97

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-02

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