| Anita Hirsch Md A Medical Corporation | |
|
400 Carlton Ave Suite 3 Los Gatos CA 95032-2629 | |
| (408) 358-8200 | |
| Not Available |
| Full Name | Anita Hirsch Md A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Carlton Ave, Los Gatos, California |
| Authorized Official Name and Position | Anita Hirsch (OWNER) |
| Authorized Official Contact | 4083588200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anita Hirsch Md A Medical Corporation 400 Carlton Ave Suite 3 Los Gatos CA 95032-2629 Ph: (408) 358-8200 | Anita Hirsch Md A Medical Corporation 400 Carlton Ave Suite 3 Los Gatos CA 95032-2629 Ph: (408) 358-8200 |
| NPI Number | 1912256793 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 2365669868 |
|---|---|
| Medicare Enrollment ID | O20140806002175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912256793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | G87488 (California) | Primary |
| Provider Name | Anita Hirsch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619062486 PECOS PAC ID: 2769416577 Enrollment ID: I20050921000704 |
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