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Jose Javier Hernandez Duran

Family Medicine

Allopathic & Osteopathic Physicians

1025 N Douty St # 105, Hanford, CA 93230-3722

PECOS Enrollment

This provider is enrolled in PECOS as JOSE HERNANDEZ DURAN.

Based on the most recent information from CMS, provider Jose Javier Hernandez Duran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1952765638
Provider Type
Individual
Full Name
Hernandez Duran, Jose Javier
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/8/2016
Last Updated
9/10/2018

Contact Information

Practice Location

1025 N Douty St # 105, Hanford, CA 93230-3722

(559) 537-0224

Unlisted Fax

Mailing Location

4636 W Caldwell Ave Apt A, Visalia, CA 93277-9332

(559) 790-9165

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License A157201 California

Jose Javier Hernandez Duran

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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