Theodric Blue Hendrix in Beverly Hills - Obstetrics

Theodric Blue Hendrix - NPI 1528138294

Theodric Blue Hendrix is a Obstetrics in Beverly Hills, California. Theodric Blue Hendrix practices all healthcare services and medical treatments related to Obstetrics. The NPI Number for Theodric Blue Hendrix is 1528138294. The last update date is 2013-09-13.

Theodric Blue Hendrix's current location address is 450 N Roxbury Dr, Beverly Hills, California. You can contact this provider via phone number 3106523570 and fax number 3103880157. The mailing address for Theodric Blue Hendrix is 450 N Roxbury Dr, Beverly Hills, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodric Blue Hendrix
Address 450 N Roxbury Dr, Beverly Hills, California
Phone Number 3106523570
Fax Number 3103880157
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1528138294
Provider Enumeration Date 2006-11-09
Last Updated Date 2013-09-13

Provider Mailing Address Detail

Address 450 N Roxbury Dr
City Beverly Hills
State California (CA)
Post Code 902104231
Phone Number 3106523570
Fax Number 3103880157

Provider's Primary Taxonomy Detail

Speciality Obstetrics
Taxonomy 207Vx0000X
Licence No A29978
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A299780 CA BLUE SHIELD PROVIDER #

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FAQs about Theodric Blue Hendrix

What is the unique 10-digit identifier code issued to Theodric Blue Hendrix by the Centers for Medicare & Medicaid Services?

The Theodric Blue Hendrix has been assigned the NPI (National Provider Identifier) 1528138294 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Theodric Blue Hendrix is physically located?

The Theodric Blue Hendrix is situated at the following address: 450 N Roxbury Dr, Beverly Hills, CA 902104231.

What is Theodric Blue Hendrix's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Theodric Blue Hendrix is Obstetrics, and the corresponding taxonomy classification code for this specialized field is 207Vx0000X.

On what date did the Theodric Blue Hendrix receive its 1528138294 assignment from the Centers for Medicare & Medicaid Services?

The Theodric Blue Hendrix was assigned its 1528138294 by the Centers for Medicare & Medicaid Services on 2006-11-09.

As of what date was the information pertaining to Theodric Blue Hendrix, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Theodric Blue Hendrix, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-13.

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