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W.JAMES HENNEBERG M.D. INC. NPI 1336389220


NPI Information

NPI: 1336389220
Provider Name: W.JAMES HENNEBERG, M.D. INC.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
10 CONGRESS ST
SUITE 400
PASADENA, CA
ZIP 91105
Phone: (626) 449-6223
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W.JAMES HENNEBERG, M.D. INC. is an obstetrics obstetrics gynecology in Pasadena, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee W.JAMES HENNEBERG, M.D. INC. NPI is 1336389220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 CONGRESS ST
SUITE 400
PASADENA, CA
ZIP 91105-045
Phone: (626) 449-6223
Fax: (626) 449-0035

The provider's authorized official is Wilbert James Henneberg .
The authorized official title is Owner and has the following contact phone number (626) 449-6223.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 3/18/2009.


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
1207VX0000XObstetrics & GynecologyObstetricsG45592CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A50104MEDICARE UPINCALIFORNIA
2G45592MEDICARE PINCALIFORNIA

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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