Organization Active NPI

Jennifer Herrmann MD Inc

  • Procedural Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1326427204
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A130259 Issued in CA
Legal business name
JENNIFER HERRMANN MD INC
Practice address
421 N Rodeo Dr Ste 7
Beverly Hills, CA 90210-4514
Phone
(310) 274-5372
NPI assigned
May 25, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Herrmann, M.D.NPI 1245521756
Title
President/Procedural Dermatologist
Phone
(646) 285-6606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207NS0135X A130259 CA Primary

Addresses

Primary practice location

421 N Rodeo Dr Ste 7
Beverly Hills, CA 90210-4514

Mailing address

13603 Marina Pointe Dr
Apt B516
Marina del Rey, CA 90292-5583
Phone (646) 285-6606

National Provider Directory

National Provider Directory

Locations

421 N Rodeo Dr
#7
Beverly Hills, CA 90210
Phone (310) 274-5380

421 N Rodeo Dr
Fl 2
Beverly Hills, CA 90210
Phone (310) 274-5372

421 N Rodeo Dr
Ste 7
Beverly Hills, CA 90210
Phone (310) 274-5372

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1326427204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 MARINA POINTE DR",
            "address_2": "APT B516",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925583",
            "telephone_number": "646-285-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE 7",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104514",
            "telephone_number": "310-274-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HERRMANN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/PROCEDURAL DERMATOLOGIST",
        "authorized_official_telephone_number": "646-285-6606",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A130259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.