Provider Demographics
NPI:1316237068
Name:HERNANDEZ GONZALEZ, LIZ KARIME (MD)
Entity type:Individual
Prefix:
First Name:LIZ
Middle Name:KARIME
Last Name:HERNANDEZ GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:KARIME
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11634 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-3771
Mailing Address - Country:US
Mailing Address - Phone:916-983-8868
Mailing Address - Fax:916-983-8891
Practice Address - Street 1:11634 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-3771
Practice Address - Country:US
Practice Address - Phone:916-983-8868
Practice Address - Fax:916-983-8891
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA127667207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine