Healthcare Provider Details

I. General information

NPI: 1831016302
Provider Name (Legal Business Name): HERHEALTH A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N MAPLE DR
BEVERLY HILLS CA
90210-4901
US

IV. Provider business mailing address

209 N MAPLE DR
BEVERLY HILLS CA
90210-4901
US

V. Phone/Fax

Practice location:
  • Phone: 516-727-2962
  • Fax: 310-878-0279
Mailing address:
  • Phone: 516-727-2962
  • Fax: 310-878-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH ROOFEH
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 516-727-2962