Marilynn Hernandez
Individual provider Active NPI Marriage & Family Therapist · View Park, CA
NPI 1205615291 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1205615291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 149396 (CA)
- Practice address
- 5300 Angeles Vista Blvd
View Park, CA 90043-1648 - Phone
- (323) 295-4555
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149396 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 149396 | CA | Yes |
Addresses
Primary practice location
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Mailing address
1590 Rosecrans Ave Ste D Unit 1564
Manhattan Beach, CA 90266-3716
Phone (323) 819-3226
Other practice location 1
9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone (310) 945-3350
Other providers in View Park, CA
- Timothy Harris
- Rahnia Hassan
- Mary Katherine Heard
- Cinthia Hercules
- Diego Hernandez
- Nathaly Hernandez
- Vicente S. Hernandez
- Norma Herrera
- Rachel Hill
- Elise Huerta
All providers in View Park, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.