Organization
W.JAMES HENNEBERG, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILBERT JAMES HENNEBERG M.D. (OWNER)
(626) 449-6223
Entity
Organization
Contact information
Practice address
10 CONGRESS ST, SUITE 400, PASADENA, CA 91105-3045
(626) 449-6223
(626) 449-0035
Mailing address
10 CONGRESS ST, SUITE 400, PASADENA, CA 91105-3045
(626) 449-6223
(626) 449-0035
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
G45592
CA
Other
Enumeration date
03/04/2009
Last updated
03/18/2009
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