Provider Demographics
NPI:1477808723
Name:HERNANDEZ, CLAUDIA ESTELA
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:ESTELA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 CUDAHY ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-6643
Mailing Address - Country:US
Mailing Address - Phone:323-588-8934
Mailing Address - Fax:
Practice Address - Street 1:1315 N BULLIS RD
Practice Address - Street 2:SUITE 8
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-1650
Practice Address - Country:US
Practice Address - Phone:310-635-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)