Organization Active NPI

Her Wellness, Inc.

  • Obstetrics & Gynecology Physician
  • Burbank, CA
National Provider Identifier
1750866679
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HER WELLNESS, INC.
Practice address
191 S Buena Vista St Ste 340
Burbank, CA 91505-4562
Phone
(310) 600-1490
Fax
(818) 559-6453
NPI assigned
Sep 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
David Ahdoot, MDNPI 1023210432
Title
Member
Phone
(310) 600-1490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

191 S Buena Vista St Ste 340
Burbank, CA 91505-4562

Mailing address

191 S Buena Vista St Ste 340
Burbank, CA 91505-4562
Phone (310) 600-1490

Other practice location 1

41210 11th St W Ste A
Palmdale, CA 93551-1447
Phone (818) 559-7500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1750866679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 340",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054562",
            "telephone_number": "310-600-1490",
            "fax_number": "818-559-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 S BUENA VISTA ST STE 340",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054562",
            "telephone_number": "310-600-1490",
            "fax_number": "818-559-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41210 11th St W Ste A",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935511447",
            "country_code": "US",
            "telephone_number": "818-559-7500",
            "fax_number": "818-559-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HER WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "AHDOOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-600-1490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.