MEDICARE: JAMES M HERMAN MD

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
1	207T00000X	Neurological Surgery Physician	G72516	CA

General Provider Information

NPI Number	:	1952396491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES M HERMAN MD

Provider Business Mailing Address
First Line	:	168 N BRENT STREET
Second Line	:	STE 408
City	:	VENTURA
State	:	CA
Zip	:	93003-2824
Country	:	US
Telephone Number	:	805-643-2179
Fax Number	:	805-643-0672

Provider Business Practice Location Address
First Line	:	168 N BRENT STREET
Second Line	:	STE 408
City	:	VENTURA
State	:	CA
Zip	:	93003-2824
Country	:	US
Telephone Number	:	805-643-2179
Fax Number	:	805-643-0672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	05/10/2022

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