Jennifer Lee Herrmann
Procedural Dermatology
13603 Marina Pointe Dr Apt B516
Marina del Rey
, California 90292-5583
Jennifer Lee Herrmann
Procedural Dermatology
13603 Marina Pointe Dr Apt B516
Marina del Rey
, California 90292-5583
(646) 285-6606
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Jennifer Lee Herrmann
- 13603 Marina Pointe Dr Apt B516
- Marina Del Rey, CA
- Zip : 90292-5583
- Phone : (646) 285-6606
Second Address
- Jennifer Lee Herrmann
- 13603 Marina Pointe Dr Apt B516
- Marina Del Rey, CA
- Zip : 90292-5583
- Phone : (646) 285-6606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | A130259 | CA |
National Provider Identifier
| NPI | 1245521756 |
|---|---|
| Provider Name | Jennifer Lee Herrmann |
| First Address | Marina Del Rey, CA 90292-5583 |
| Second Address | Marina Del Rey, CA 90292-5583 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2011 |
| Last Update Date | 15/01/2019 |
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.