Dr. Phillip Robert Hersh
Chiropractic Sports Physician
1500 Adams Ave Ste 201
Costa Mesa
, California 92626-3818
Dr. Phillip Robert Hersh
Chiropractic Sports Physician
1500 Adams Ave Ste 201
Costa Mesa
, California 92626-3818
(657) 900-2476
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Phillip Robert Hersh
- 1500 Adams Ave Ste 201
- Costa Mesa, CA
- Zip : 92626-3818
- Phone : (657) 900-2476
Second Address
- Dr. Phillip Robert Hersh
- 1500 Adams Ave Ste 201
- Costa Mesa, CA
- Zip : 92626-3818
- Phone : (657) 900-2476
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 33086 | CA |
National Provider Identifier
| NPI | 1154712529 |
|---|---|
| Provider Name | Dr. Phillip Robert Hersh |
| First Address | Costa Mesa, CA 92626-3818 |
| Second Address | Costa Mesa, CA 92626-3818 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2015 |
| Last Update Date | 06/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.