Healthcare Provider Details

I. General information

NPI: 1427283340
Provider Name (Legal Business Name): MEIR DAVID HERSHCOVITCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 MEDICAL CENTER DR SUITE 510
WEST HILLS CA
91307-1910
US

IV. Provider business mailing address

959 STEWART DR APT 731
SUNNYVALE CA
94085-3939
US

V. Phone/Fax

Practice location:
  • Phone: 818-888-7878
  • Fax: 818-888-5200
Mailing address:
  • Phone: 513-377-0574
  • Fax: 650-368-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberA127668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: