Provider Demographics
NPI:1942870142
Name:HERZ, ANDREA L (RMDS)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:L
Last Name:HERZ
Suffix:
Gender:F
Credentials:RMDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6574 CAMINO VENTUROSO
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1527
Mailing Address - Country:US
Mailing Address - Phone:949-973-3573
Mailing Address - Fax:
Practice Address - Street 1:22 W MISSION ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2450
Practice Address - Country:US
Practice Address - Phone:194-997-3357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist