| Herman Rus Medical Professional Corporation | |
|
825 Oak Grove Ave Ste A101 Menlo Park CA 94025-4427 | |
| (650) 419-3330 | |
| Not Available |
| Full Name | Herman Rus Medical Professional Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 825 Oak Grove Ave Ste A101, Menlo Park, California |
| Authorized Official Name and Position | Sara C Herman (OWNER) |
| Authorized Official Contact | 6504193330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herman Rus Medical Professional Corporation 825 Oak Grove Ave Ste A101 Menlo Park CA 94025-4427 Ph: (650) 419-3330 | Herman Rus Medical Professional Corporation 825 Oak Grove Ave Ste A101 Menlo Park CA 94025-4427 Ph: (650) 419-3330 |
| NPI Number | 1174115000 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174115000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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