| Martha Hierro, Md Inc | |
|
2021 Santa Monica Blvd Ste 335e Santa Monica CA 90404-2146 | |
| (310) 471-9917 | |
| (310) 319-2468 |
| Full Name | Martha Hierro, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2021 Santa Monica Blvd Ste 335e, Santa Monica, California |
| Authorized Official Name and Position | Pearl S Boyd (PRACTICE MANAGER) |
| Authorized Official Contact | 3234931760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Hierro, Md Inc 2021 Santa Monica Blvd Ste 335e Santa Monica CA 90404-2146 Ph: (310) 471-9917 | Martha Hierro, Md Inc 2021 Santa Monica Blvd Ste 335e Santa Monica CA 90404-2146 Ph: (310) 471-9917 |
| NPI Number | 1548883622 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 05/22/2020 |
| Medicare PECOS PAC ID | 8224458914 |
|---|---|
| Medicare Enrollment ID | O20201019002406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548883622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Martha Hierro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770562431 PECOS PAC ID: 3577651488 Enrollment ID: I20101228000331 |
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