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NPI Code Detail

MEDICARE: PETER B. HIRSCH, MD, INC.

MEDICARE: PETER B. HIRSCH, MD, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistG37940CA

General Provider Information

NPI Number : 1881816551
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETER B. HIRSCH, MD, INC.
Provider Business Mailing Address
First Line : 3201 WILSHIRE BLVD.
Second Line : SUITE 202
City : SANTA MONICA
State : CA
Zip : 90403-2337
Country : US
Telephone Number : 310-630-3717
Fax Number : 310-451-1244
Provider Business Practice Location Address
First Line : 3201 WILSHIRE BLVD.
Second Line : SUITE 202
City : SANTA MONICA
State : CA
Zip : 90403-2337
Country : US
Telephone Number : 310-630-3717
Fax Number : 310-451-1244
Authorized Official
Title or Position : PRESIDENT
Name : DR. PETER B. HIRSCH
Credential : MD
Telephone Number : 310-630-3717
Provider Enumeration Date : 05/03/2007
Last Update Date : 02/09/2010

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Directions to “PETER B. HIRSCH, MD, INC. ” Practice Location

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