Healthcare Provider Details

I. General information

NPI: 1962229252
Provider Name (Legal Business Name): AKOS HERZEG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAMPUS BOX 0132 490 ILLINOIS STREET, FLOOR 10
SAN FRANCISCO CA
94134
US

IV. Provider business mailing address

CAMPUS BOX 0132 490 ILLINOIS STREET, FLOOR 10
SAN FRANCISCO CA
94134
US

V. Phone/Fax

Practice location:
  • Phone: 415-272-6129
  • Fax:
Mailing address:
  • Phone: 415-272-6129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: