Healthcare Provider Details

I. General information

NPI: 1508940305
Provider Name (Legal Business Name): JAMES JOSEPH HERSHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 CLAY ST # 501
SAN FRANCISCO CA
94115
US

IV. Provider business mailing address

2351 CLAY ST # 501
SAN FRANCISCO CA
94115
US

V. Phone/Fax

Practice location:
  • Phone: 415-923-3421
  • Fax: 415-600-1414
Mailing address:
  • Phone: 415-923-3421
  • Fax: 415-600-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG34963
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG34963
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: