MEDICARE: DR. HERVE J. DUMONT M.D.

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	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	G85430	CA
2	207RC0000X	Cardiovascular Disease Physician	G85430	CA
3	207RP1001X	Pulmonary Disease Physician	G85430	CA
4	208600000X	Surgery Physician	G85430	CA
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	G85430	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982608238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERVE J. DUMONT M.D.

Provider Business Mailing Address
First Line	:	1155 N VERMONT AVE
Second Line	:	STE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1701
Country	:	US
Telephone Number	:	323-664-1814
Fax Number	:	323-663-1723

Provider Business Practice Location Address
First Line	:	1155 N VERMONT AVE
Second Line	:	STE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1701
Country	:	US
Telephone Number	:	323-664-1814
Fax Number	:	323-663-1723

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	02/28/2014

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Directions to “ DR. HERVE J. DUMONT M.D.” Practice Location

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