Individual ProviderMichael HernandezPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414(323) 225-2786(562) 639-7219PECOS EnrollmentBased on the most recent information from CMS, provider Michael Hernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508865023Provider TypeIndividualFull NameHernandez, MichaelCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/18/2005Last Updated2/13/2017Contact InformationPractice LocationPractice Address1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414Phone(323) 225-2786Fax(562) 695-9746Mailing LocationMailing AddressPO Box 3163, Montebello, CA 90640-8463Phone(562) 639-7219Fax(562) 695-9746Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA043165California