Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eli Yosaim Hernandez, DEEPSEAIDC

Individual provider Independent Duty Corpsman · NPI 1639597404

Eli Yosaim Hernandez, DEEPSEAIDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-0097
Phone: (619) 532-6723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1639597404
Entity typeIndividual (Type 1)
GenderMale
Credentials DEEPSEAIDC
Sole proprietorYes
NPI enumeratedMarch 31, 2014
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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