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Contact Information

JOSE C HERNANDEZ, MD
2 JAMES WAY
SUITE 207
PISMO BEACH, CA93449
 Phone: 805-556-3001
 Fax: 805-481-1008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for JOSE C HERNANDEZ · (Male)

NPI # 1578755773
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2007
Last updated 11/25/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 41345
  • CA License # A102590
  • NC License # 2018-02906
  • SC License # 81917
Hospital affiliation(s)
  • GRAND STRAND REGIONAL MEDICAL CENTER - (Acute Care)
    809 82ND PARKWAY
    MYRTLE BEACH, SC 29572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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