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Individual
DR. CYNTHIA HERZOG
Active
Individual
DR. CYNTHIA HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G73087
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
G73087
CA
207QA0505X
Adult Medicine Physician
G73087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G730870
—
CA
Enumeration date
09/16/2006
Last updated
10/02/2019
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