Provider Demographics
NPI:1144594367
Name:HERNANDEZ, MIRIAM ZARAHY (PA-C)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:ZARAHY
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:721 S GARFIELD AVE
Mailing Address - Street 2:APT F
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3947
Mailing Address - Country:US
Mailing Address - Phone:626-506-7298
Mailing Address - Fax:
Practice Address - Street 1:4813 COFFEE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-9435
Practice Address - Country:US
Practice Address - Phone:661-664-0252
Practice Address - Fax:661-664-2717
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2015-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22133363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant