Individual provider · Type 1 NPI

Jerusalem C. Hernandez Quevedo

Peer Specialist · Los Angeles, CA

NPI number 1417699091 Active

Practice location

8836 S Vermont Ave
Los Angeles, CA 90044-4832

Call (213) 451-4370 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000XMPSS-VURYTA (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1417699091

Jerusalem C. Hernandez Quevedo's National Provider Identifier is 1417699091, issued on Apr 12, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 27, 2023.