Provider Demographics
NPI:1386451714
Name:MATIAS HERNANDEZ, CLAUDIA GUADALUPE
Entity type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:GUADALUPE
Last Name:MATIAS 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 1:6309 ALBANY ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-3509
Mailing Address - Country:US
Mailing Address - Phone:323-571-5899
Mailing Address - Fax:
Practice Address - Street 1:6309 ALBANY ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-3509
Practice Address - Country:US
Practice Address - Phone:323-571-5899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program