Healthcare Provider Details

I. General information

NPI: 1255753158
Provider Name (Legal Business Name): ERIN LASHNITS HERMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN COUGHLIN NP

II. Dates (important events)

Enumeration Date: 01/10/2014
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 REGENT ST STE 524
BERKELEY CA
94705-2120
US

IV. Provider business mailing address

445 S FIGUEROA ST FL 31
LOS ANGELES CA
90071-1602
US

V. Phone/Fax

Practice location:
  • Phone: 510-495-0310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23849
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number23849
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: