Provider Demographics
NPI:1861533150
Name:HERNANDEZ, ARLENE
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:
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 1:2550 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3406
Mailing Address - Country:US
Mailing Address - Phone:760-562-6880
Mailing Address - Fax:626-844-0481
Practice Address - Street 1:2550 E FOOTHILL BLVD
Practice Address - Street 2:# 134
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3406
Practice Address - Country:US
Practice Address - Phone:626-255-3600
Practice Address - Fax:626-844-0481
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator