Provider Demographics
NPI:1598568214
Name:HERNANDEZ LOYOLA, DASAI ARACELI
Entity type:Individual
Prefix:
First Name:DASAI
Middle Name:ARACELI
Last Name:HERNANDEZ LOYOLA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 SALMAR AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1453
Mailing Address - Country:US
Mailing Address - Phone:408-854-2224
Mailing Address - Fax:
Practice Address - Street 1:577 SALMAR AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1453
Practice Address - Country:US
Practice Address - Phone:408-854-2224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician