Provider Demographics
NPI:1124734397
Name:HERNANDEZ CHIROPRACTIC & WELLNESS INC.
Entity type:Organization
Organization Name:HERNANDEZ CHIROPRACTIC & WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIREYA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-508-1557
Mailing Address - Street 1:5536 LIME AVE APT A
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-5581
Mailing Address - Country:US
Mailing Address - Phone:562-508-1557
Mailing Address - Fax:
Practice Address - Street 1:4401 ATLANTIC AVE STE 480
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2265
Practice Address - Country:US
Practice Address - Phone:562-508-1557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center