Organization
WILLIAM F HERRMANN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM FREDERICK HERRMANN DPM (OWNER)
(949) 855-4634
Entity
Organization
Contact information
Practice address
234 E 17TH ST, SUITE #104, COSTA MESA, CA 92627-3825
(949) 855-4634
Mailing address
PO BOX 11599, COSTA MESA, CA 92627-0599
(949) 855-4634
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480010316
RAILROAD MEDICARE
—
Enumeration date
10/05/2006
Last updated
03/04/2020
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