Provider Demographics
NPI:1366909277
Name:DISCOVER HEALTH MEDICA GROUP, INC
Entity type:Organization
Organization Name:DISCOVER HEALTH MEDICA GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO/PEDIATRICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ODED
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-732-7029
Mailing Address - Street 1:990 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133
Mailing Address - Country:US
Mailing Address - Phone:415-732-7029
Mailing Address - Fax:415-732-7030
Practice Address - Street 1:990 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133
Practice Address - Country:US
Practice Address - Phone:415-732-7029
Practice Address - Fax:415-732-7030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty