Individual provider · Type 1 NPI

Alycia Hernandez

Student in an Organized Health Care Education/Training Program · La Jolla, CA

NPI number 1104763986 Active

Practice location

9500 Gilman Dr
La Jolla, CA 92093-0602

Call (858) 534-2230 Map

Mailing address

5818 Ventana Dr
Fontana, CA 92336-5612

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Medical Physician Assistant 363AM0700XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104763986

Alycia Hernandez's National Provider Identifier is 1104763986, issued on Apr 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Jolla, CA. The record was last updated on May 1, 2026.