Basic Information
| Provider Information | |||||||||
| NPI: | 1023113511 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERSH | ||||||||
| FirstName: | ALAN | ||||||||
| MiddleName: | RICHARD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2027 VILLAGE LN | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | SOLVANG | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934632283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056883440 | ||||||||
| FaxNumber: | 8056865694 | ||||||||
| Practice Location | |||||||||
| Address1: | 2027 VILLAGE LN | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | SOLVANG | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934632283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056883440 | ||||||||
| FaxNumber: | 8056865694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | G38047 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.