Provider Demographics
NPI:1750716916
Name:HERNANDEZ-OBILLO, YOLANDA
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:
Last Name:HERNANDEZ-OBILLO
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 1:17 SILKLEAF
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5404
Mailing Address - Country:US
Mailing Address - Phone:949-551-3052
Mailing Address - Fax:
Practice Address - Street 1:17 SILKLEAF
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5404
Practice Address - Country:US
Practice Address - Phone:949-551-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health