Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LILLY TRACEY HERNANDEZ, R1419440525
ActiveLILLY TRACEY HERNANDEZ, R1419440525 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LOS ANGELES, California. NPI 1669363214 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LOS ANGELES, CA
Registration Details
- NPI Number
- 1669363214
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2025 (1.1181292045901 yrs)
- Last Updated
- Jul 14, 2025
- License
-
R1419440525 (CA)
Practice Information
- Address
-
2330 BEVERLY BLVDLOS ANGELES, CA, 900572220Browse CA providers · Browse ZIP 90057
- Phone
- 2134141132
- Fax
- 2137482432
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| LISA MARIE VARTANIAN | PH.D, M.F.T | 1366462509 |
| BRANDON ADAM GAINES | M.S.O.M, LAC | 1295759199 |
| MR. GREGORY REMON CAIN SR. | — | 1093800930 |
| JAMES HOWARD ROWE | CADC-NCAC | 1356423693 |
| MR. JOSEPH C MCNEALEY | — | 1710064019 |
| HYUN KYU KIM | — | 1629156567 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.