# W.JAMES HENNEBERG, M.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336389220
- **Authorized official:** DR. WILBERT JAMES HENNEBERG M.D. (OWNER)
- **Authorized official phone:** (626) 449-6223

## Contact information

- **Practice address:** 10 CONGRESS ST, SUITE 400, PASADENA, CA 91105-3045
- **Practice address phone:** (626) 449-6223
- **Practice address fax:** (626) 449-0035
- **Mailing address:** 10 CONGRESS ST, SUITE 400, PASADENA, CA 91105-3045
- **Mailing address phone:** (626) 449-6223
- **Mailing address fax:** (626) 449-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | G45592 | CA | Yes |

## Other

- **Enumeration date:** 03/04/2009
- **Last updated:** 03/18/2009