Individual
DR. JEFFREY HAROLD HERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, KIEWIT BLDG. STE. 401, RANCHO MIRAGE, CA 92270-3221
(760) 346-1882
(760) 346-1742
Mailing address
39000 BOB HOPE DR, KIEWIT BLDG. STE. 401, RANCHO MIRAGE, CA 92270-3221
(760) 346-1882
(760) 346-1742
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G30050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G300501
MEDICARE PROVIDER NUMBER
CA
05
—
00G300501
—
CA
Enumeration date
02/13/2006
Last updated
09/29/2011
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