Provider Demographics
NPI:1982749339
Name:KERSHBERG, HILARY BACHMAN (MS)
Entity Type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:BACHMAN
Last Name:KERSHBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:BETH
Other - Last Name:BACHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 PALLAZO CIR
Mailing Address - Street 2:
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-1930
Mailing Address - Country:US
Mailing Address - Phone:949-462-9013
Mailing Address - Fax:949-215-5160
Practice Address - Street 1:5300 MCCONNELL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-7026
Practice Address - Country:US
Practice Address - Phone:949-462-9013
Practice Address - Fax:949-215-5160
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA870017170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS