Organization
HERMANSON MEDICAL GROUP A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER G HERMANSON MD (PRESIDENT)
(831) 385-6000
Entity
Organization
Contact information
Practice address
300 CANAL STREET, KING CITY, CA 93930-3431
(831) 385-6000
Mailing address
PO BOX 11300, WESTMINSTER, CA 92685-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101510
—
CA
Enumeration date
07/02/2006
Last updated
08/22/2020
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