Individual
BRIAN D. HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0015837
VT
207Q00000X
Family Medicine Physician
Primary
G86565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G865650
—
CA
Enumeration date
10/25/2006
Last updated
05/12/2022
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