Healthcare Provider Details

I. General information

NPI: 1609902261
Provider Name (Legal Business Name): NEIL HERSH, M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6226 E SPRING ST STE 275
LONG BEACH CA
90815-1455
US

IV. Provider business mailing address

6226 E SPRING ST STE 275
LONG BEACH CA
90815-1455
US

V. Phone/Fax

Practice location:
  • Phone: 661-301-5768
  • Fax: 562-452-7332
Mailing address:
  • Phone: 661-301-5768
  • Fax: 562-452-7332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberG58484
License Number StateCA

VIII. Authorized Official

Name: NEIL KENNETH HERSH
Title or Position: OWNER
Credential: MD
Phone: 661-301-5768