Doctor Name: | JOHN S HERRERA |
NPI Number: | 1922218148 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5342 Dudley Blvd Mcclellan, CA - 956521012 |
Business Phone Number: | 9166437676 |
Business Fax Number: | 9166437700 |
Mailing Address: | 3409 Mitchell St, MCCLELLAN |
State: | CA |
Postal Code: | 956521011 |
Phone Number: | 9166437676 |
Fax Number: | 9166437700 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Health Information |
Taxonomy Specialization: | |
Taxonomy Definition: | Preferred term for an Accredited Record Technician who is an individual with an associate |