Provider Demographics
NPI:1215214705
Name:HERNANDEZ, CLAUDIA NIRVANA (MS)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:NIRVANA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8727 W 3RD ST
Mailing Address - Street 2:METRO 203
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3843
Mailing Address - Country:US
Mailing Address - Phone:310-423-6464
Mailing Address - Fax:310-423-0620
Practice Address - Street 1:8727 W 3RD ST
Practice Address - Street 2:METRO 203
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3843
Practice Address - Country:US
Practice Address - Phone:310-423-6464
Practice Address - Fax:310-423-0620
Is Sole Proprietor?:No
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS