Individual
DR. SCOTT HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41278 MARGARITA RD, SUITE 201, TEMECULA, CA 92591-5579
(951) 693-1505
Mailing address
41278 MARGARITA RD, SUITE 201, TEMECULA, CA 92591-5579
(951) 693-1505
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G791440
—
CA
01
—
1821011917
GROUP NPI
—
01
—
7510137
MEDICAID PIN
—
Enumeration date
10/11/2007
Last updated
10/01/2010
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