Provider Demographics
NPI:1548344724
Name:HIRSCH, ROBERT HOLDEN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOLDEN
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20993 FOOTHILL BLVD
Mailing Address - Street 2:#128
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-1511
Mailing Address - Country:US
Mailing Address - Phone:510-918-3486
Mailing Address - Fax:510-276-1431
Practice Address - Street 1:16570 ROLANDO AVE
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-1256
Practice Address - Country:US
Practice Address - Phone:510-918-3486
Practice Address - Fax:510-276-1431
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor