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

Mylene Palencia Fernan, RDA

Individual provider Dental Assistant · NPI 1134408560

Mylene Palencia Fernan, RDA is a Dental Assistant in Hawthorne, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

12730 Hawthorne Blvd Ste D
Hawthorne, CA 90250-3919
Phone: (310) 644-4000
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 38102 (CA)

Record details

NPI number1134408560
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorNo
NPI enumeratedAugust 16, 2011
Last updated in NPPESAugust 16, 2011

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