Provider Demographics
NPI:1871585349
Name:HIRSCH, OREN N (MD)
Entity type:Individual
Prefix:DR
First Name:OREN
Middle Name:N
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18321 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3501
Mailing Address - Country:US
Mailing Address - Phone:818-245-8239
Mailing Address - Fax:818-245-8200
Practice Address - Street 1:18321 CLARK ST
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3501
Practice Address - Country:US
Practice Address - Phone:818-245-8239
Practice Address - Fax:818-245-8200
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222272-1207P00000X
CAA94112207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A941120Medicaid
NYH99880Medicare UPIN
CAWA94112DMedicare PIN
CA00A941120Medicaid
CAWA94112FMedicare PIN
CAWA94122EMedicare PIN