Hernandez, Marlena

Hernandez, Marlena is an individual health care provider with primary practice located at 3625 14Th St , Riverside CA 92501-3815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hernandez, Marlena can be contacted via phone (951) 955-1560.

Contact Information

Primary practice address
3625 14Th St Riverside CA 92501-3815
Phone: (951) 955-1560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 96243 California

Profile Details

NPI number 1184006165
LBN Legal business name Hernandez, Marlena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Apr 21st, 2021 - about 5 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 1184006165 NPPES
California Other R01972446 HEALTH NET

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