Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | G17022 | CA |
NPI | 1316269038 |
---|---|
Provider Name | Dr. Anthony Terry Hirsch |
First Address | Ventura, CA 93003-7672 |
Second Address | Ojai, CA 93023-3169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2010 |
Last Update Date | 26/12/2013 |