Hertz, Philip
Hertz, Philip is an individual health care provider with primary practice located at 1498 Southgate Ave Suite 102, Daly City CA 94015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hertz, Philip can be contacted via phone (650) 755-4492.Contact Information
Primary practice address
1498 Southgate Ave Suite 102
Daly City CA 94015
Phone: (650) 755-4492
Fax: (650) 755-4466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G19222 | California |
Profile Details
| NPI number | 1760443725 |
|---|---|
| LBN Legal business name | Hertz, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760443725 | NPPES |
| California | MEDICAID | 00G192220 |
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