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NPI Code Detail

MEDICARE: DR. SETH LEWIS HIRSCH PHD

MEDICARE:  DR. SETH LEWIS HIRSCH  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY7084CA

General Provider Information

NPI Number : 1073734844
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SETH LEWIS HIRSCH PHD
Provider Business Mailing Address
First Line : 5455 WILSHIRE BLVD., STE. 1903
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036
Country : US
Telephone Number : 323-934-3861
Fax Number : 323-934-3862
Provider Business Practice Location Address
First Line : 5455 WILSHIRE BLVD., STE. 1903
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036
Country : US
Telephone Number : 323-934-3861
Fax Number : 323-934-3862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/08/2007

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Directions to “ DR. SETH LEWIS HIRSCH PHD” Practice Location

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