Individual
LEONARD Y HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 840-5655
(626) 287-1940
Mailing address
PO BOX 661688, ARCADIA, CA 91066-1688
(626) 840-5655
(626) 287-1940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G85589
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G855890
BLUE SHIELD
CA
05
—
00G855890
—
CA
Enumeration date
06/02/2006
Last updated
06/06/2009
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