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HERMAN RUS MEDICAL PROFESSIONAL CORPORATION NPI 1174115000


NPI Information

NPI: 1174115000
Provider Name: HERMAN RUS MEDICAL PROFESSIONAL CORPORATION

Doing Business As: SOFT REBOOT WELLNESS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
825 OAK GROVE AVE STE A101
MENLO PARK, CA
ZIP 94025
Phone: (650) 419-3330
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HERMAN RUS MEDICAL PROFESSIONAL CORPORATION is a clinic center in Menlo Park, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). HERMAN RUS MEDICAL PROFESSIONAL CORPORATION NPI is 1174115000. The provider is registered as an organization entity type.
The provider Is Doing Business As Soft Reboot Wellness.

The provider's business location address is:

825 OAK GROVE AVE STE A101
MENLO PARK, CA
ZIP 94025-427
Phone: (650) 419-3330

The provider's authorized official is Sara C Herman .
The authorized official title is Owner and has the following contact phone number (650) 419-3330.

The enumeration date for this NPI number is 2/11/2021 and was last updated on 11/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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