Gershman, Lisa Naomi

Gershman, Lisa Naomi is an individual health care provider with primary practice located at 17822 Beach Blvd Ste 278 , Huntington Beach CA 92647-7180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gershman, Lisa Naomi can be contacted via phone (714) 842-1441.

Contact Information

Primary practice address
17822 Beach Blvd Ste 278 Huntington Beach CA 92647-7180
Phone: (714) 842-1441
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A112107 California

Profile Details

NPI number 1316190572
LBN Legal business name Gershman, Lisa Naomi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2008
Last updated Feb 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316190572 NPPES
California MEDICAID 1316190572

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