Individual
THAD HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27700 MEDICAL CENTER RD, MISSION VIEJO, CA 92691-6426
(949) 365-2173
Mailing address
36 VISTA LA CUESTA, RANCHO SANTA MARGARITA, CA 92688-1001
(714) 606-9183
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
629421
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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