Herbst, Mark
Herbst, Mark is an sole proprietor health care provider with primary practice located at 1891 Effie St , Los Angeles CA 90026-1711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Herbst, Mark can be contacted via phone (323) 644-2000.Contact Information
Primary practice address
1891 Effie St
Los Angeles CA 90026-1711
Phone: (323) 644-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G59419 | California |
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 13321 | Hawaii |
Profile Details
| NPI number | 1578516811 |
|---|---|
| LBN Legal business name | Herbst, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Dec 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578516811 | NPPES |
| Hawaii | MEDICAID | 567117-02 |
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