Individual
BRENDA JANE HERMOGENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, ROOM 5512, WEST HOLLYWOOD, CA 90048-1804
(323) 423-5520
Mailing address
8700 BEVERLY BLVD, ROOM 5512, WEST HOLLYWOOD, CA 90048-1804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A117123
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A117123
CA
208M00000X
Hospitalist Physician
Primary
A117123
CA
Other
Enumeration date
08/18/2009
Last updated
04/14/2017
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