HERTZOG EYE ASSOCIATES A MEDICAL CORPORATION (NPI# 1619165446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619165446 |
| Entity Type | Organization |
| Organization Name | HERTZOG EYE ASSOCIATES A MEDICAL CORPORATION |
| Practice Address |
5094 E Los Coyotes Diagonal Long Beach CA 90815-2839 |
| Practice Telephone | 5625973100 |
| Practice Fax Number | 5625975055 |
| Mailing Telephone | 5625973100 |
| Mailing Fax Number | 5625975055 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-12-16 |
| Authorized Official Name | DR. LEIF HERTZOG (MD) |
| Authorized Official Telephone | 5625954366 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G52761 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP | W15323 | 01 |
| Street Address |
5094 E LOS COYOTES DIAGONAL |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851616064 | Hans Dieter Hertzog | Student in an Organized Health Care Education/Training Program | 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649565920 | Morgan E Renner | Ophthalmology | 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 | 2011-06-14 |
| 1891026969 | Eye Treatment Center, An Incorporated Medical Group, Inc | Ophthalmology | 1150 E 4th St, Long Beach Senior Center, Long Beach, CA 90802-1735 | 2010-01-28 |
| 1851620959 | Rmg, Apc | Ophthalmology | 5471 E The Toledo, Long Beach, CA 90803-3953 | 2009-12-18 |
| 1053514166 | Houck Eye Care and Refractive Surgery Center, PC | Ophthalmology | 2940 Mount Clair Way, Long Beach, IN 46360-1769 | 2007-06-06 |
| 1396840708 | Bruce A Fastenberg | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2006-09-13 |
| 1710093083 | Carlos Enrique Martinez | Ophthalmology | 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 | 2006-08-21 |
| 1902837941 | Eyecare Specialists Medical Group | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-07-06 |
| 1508897893 | H L Sulit Medical Professional Corp | Ophthalmology | 825 Pacific Ave, Long Beach, CA 90813-4225 | 2006-07-05 |
| 1104827591 | Herbert C Henken | Ophthalmology | 511 E Park Ave, Long Beach, NY 11561-3741 | 2005-08-09 |
| 1568468106 | Stephen Andrew Wigginton | Ophthalmology | 709 E Anaheim St, Long Beach, CA 90813-3507 | 2005-06-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on HERTZOG EYE ASSOCIATES A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.