Hernandez, Douglas

Hernandez, Douglas is an individual health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Hernandez, Douglas can be contacted via phone (323) 240-4568.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030-2919
Phone: (323) 240-4568
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 145731 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1164972691
LBN Legal business name Hernandez, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2016
Last updated Feb 17th, 2026 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164972691 NPPES
California Other 7368 MEDICAL
California Other 7667 MEDICAL
California Other 7184 MEDICAL
California Other 7708 MEDICAL

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