Provider Demographics
NPI:1265654255
Name:WRIGHT, HERMAN HEWITT (MD)
Entity Type:Individual
Prefix:DR
First Name:HERMAN
Middle Name:HEWITT
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8880 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90003-3635
Mailing Address - Country:US
Mailing Address - Phone:323-750-1196
Mailing Address - Fax:323-750-0330
Practice Address - Street 1:8880 S BROADWAY
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90003-3635
Practice Address - Country:US
Practice Address - Phone:323-750-1196
Practice Address - Fax:323-750-0330
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG34225207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine