Hernandez, Gilbert

Hernandez, Gilbert is an individual health care provider with primary practice located at 15480 Ramona Ave , Victorville CA 92392-2421. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hernandez, Gilbert can be contacted via phone (760) 243-8186.

Contact Information

Primary practice address
15480 Ramona Ave Victorville CA 92392-2421
Phone: (760) 243-8186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1851744502
LBN Legal business name Hernandez, Gilbert
Credentials CCAPP-II ADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Feb 13th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851744502 NPPES
California MEDICAID 1851744502

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