Robert Jeffrey Herten
Dermatopathologist
15 Santa Rosa St
San Luis Obispo
, California 93405-1811
Robert Jeffrey Herten
Dermatopathologist
15 Santa Rosa St
San Luis Obispo
, California 93405-1811
(805) 541-4043
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Robert Jeffrey Herten
- 15 Santa Rosa St
- San Luis Obispo, CA
- Zip : 93405-1811
- Fax : (805) 541-4043
- Phone : (805) 541-2650
Second Address
- Robert Jeffrey Herten
- 15 Santa Rosa St
- San Luis Obispo, CA
- Zip : 93405-1811
- Fax : (805) 541-4043
- Phone : (805) 541-2650
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Is Robert Jeffrey Herten a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0900X | Dermatopathologist | A25307 | CA |
National Provider Identifier
| NPI | 1265407852 |
|---|---|
| Provider Name | Robert Jeffrey Herten |
| First Address | San Luis Obispo, CA 93405-1811 |
| Second Address | San Luis Obispo, CA 93405-1811 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 12/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A253070 | (05) | CA |
| A24373 | (02) |
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.