Individual
DR. THEODRIC BLUE HENDRIX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 N ROXBURY DR, SUITE 500, BEVERLY HILLS, CA 90210-4231
(310) 652-3570
(310) 388-0157
Mailing address
450 N ROXBURY DR, SUITE 500, BEVERLY HILLS, CA 90210-4231
(310) 652-3570
(310) 388-0157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A29978
CA
207VX0000X
Obstetrics Physician
Primary
A29978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A299780
BLUE SHIELD PROVIDER #
CA
Enumeration date
11/09/2006
Last updated
09/13/2013
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