IndividualActive
Mike Herrera
NPI 1245050897 · Prevention Professional · Baker, CA
Provider details
- NPI number
- 1245050897
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 360159AP (CA)
Specialties & taxonomies
Other Service Providers
Practice location
57131 Lakeview Rd
Baker, CA 92309
Phone: (909) 389-8582
Approximate (ZIP-level) locationGet directions
Mailing address
1366 Whitewood Dr
Mentone, CA 92359-1623
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.