Organization
R JEFFREY HERTEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R JEFFREY HERTEN MD (CORPORATION PRESIDENT)
(805) 541-2650
Entity
Organization
Contact information
Practice address
15 SANTA ROSA STREET, SAN LUIS OBISPO, CA 93405-1811
(805) 541-2650
(805) 541-4043
Mailing address
15 SANTA ROSA STREET, SAN LUIS OBISPO, CA 93405-1811
(805) 541-2650
(805) 541-4043
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
09/07/2023
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