Individual ProviderJose E HernandezCounselorBehavioral Health & Social Service ProvidersPractice Address5715 S Broadway, Los Angeles, CA 90037-4131(323) 948-0444PECOS EnrollmentBased on the most recent information from CMS, provider Jose E Hernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1891327441Provider TypeIndividualFull NameHernandez, Jose EGenderMaleSole ProprietorNoEnumeration Date2/11/2020Last Updated2/11/2020Contact InformationPractice LocationPractice Address5715 S Broadway, Los Angeles, CA 90037-4131Phone(323) 948-0444Fax(323) 948-0443Mailing LocationMailing Address5715 S Broadway, Los Angeles, CA 90037-4131Phone(323) 948-0444Fax(323) 948-0443Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer