# ROBERT S. HERRICK M.D. INC

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

## Provider details

- **NPI number:** 1477854123
- **Authorized official:** DR. ROBERT STUART HERRICK M.D. (OPHTHALMOGIST)
- **Authorized official phone:** (909) 820-4051

## Contact information

- **Practice address:** 882 W RIALTO AVE, RIALTO, CA 92376-5658
- **Practice address phone:** (909) 820-4051
- **Practice address fax:** (909) 820-4053
- **Mailing address:** 882 W RIALTO AVE, RIALTO, CA 92376-5658
- **Mailing address phone:** (909) 820-4051
- **Mailing address fax:** (909) 820-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | C24395 | CA | Yes |

## Other

- **Enumeration date:** 11/11/2010
- **Last updated:** 12/07/2011