Provider Demographics
NPI:1184237158
Name:DAVID J HERMIZ MD
Entity type:Organization
Organization Name:DAVID J HERMIZ MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND ATTENDING PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HERMIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:424-348-4558
Mailing Address - Street 1:3415 S SEPULVEDA BLVD STE 1100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-7090
Mailing Address - Country:US
Mailing Address - Phone:424-348-4558
Mailing Address - Fax:310-620-8275
Practice Address - Street 1:3415 S SEPULVEDA BLVD STE 1100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-7090
Practice Address - Country:US
Practice Address - Phone:424-348-4558
Practice Address - Fax:310-620-8275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty