HERACLIO VIDAL HERRERA


Address: 26889 Cherry Willow Dr, Santa Clarita, CA 91387-1813
Phone: 8182888112

HERACLIO VIDAL HERRERA (NPI# 1255707246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255707246
Entity Type Individual
Full Name HERACLIO VIDAL HERRERA
Practice Address 26889 Cherry Willow Dr
Santa Clarita
CA 91387-1813
Practice Telephone 8182888112
Mailing Telephone 8182888112
Enumeration Date 2015-08-13
Last Update Date 2015-08-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0807X Registered Nurse
Specialization: Psych/Mental Health, Child & Adolescent
837669 CA Nursing Service Providers

Office Location

Street Address 26889 CHERRY WILLOW DR
City SANTA CLARITA
State CA
Zip Code 91387-1813

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Taxonomy Information

Taxonomy Code 163WP0807X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Child & Adolescent

Taxonomy Definition

Definition to come...

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Competitor

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City SANTA CLARITA
Zip Code 91387

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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