| David J Hermiz Md | |
|
3415 S Sepulveda Blvd Ste 1100 Los Angeles CA 90034-7090 | |
| (424) 348-4558 | |
| (310) 620-8275 |
| Full Name | David J Hermiz Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3415 S Sepulveda Blvd Ste 1100, Los Angeles, California |
| Authorized Official Name and Position | David Joseph Hermiz (OWNER AND ATTENDING PSYCHIATRIST) |
| Authorized Official Contact | 4243484558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Hermiz Md 3415 S Sepulveda Blvd Ste 1100 Los Angeles CA 90034-7090 Ph: (424) 348-4558 | David J Hermiz Md 3415 S Sepulveda Blvd Ste 1100 Los Angeles CA 90034-7090 Ph: (424) 348-4558 |
| NPI Number | 1184237158 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 7315365780 |
|---|---|
| Medicare Enrollment ID | O20200916002870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184237158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | David Joseph Hermiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316382849 PECOS PAC ID: 0345527073 Enrollment ID: I20170707002567 |
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