Organization
HERMD VIRTUAL SERVICES CA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME CHELLIAH MD (DIRECTOR)
(707) 720-5311
Entity
Organization
Contact information
Practice address
776 BARRACUDA WAY, LAGUNA BEACH, CA 92651-4123
(949) 554-3211
Mailing address
PO BOX 340380, PMB 37348, COLUMBUS, OH 43234
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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