Individual
MATTHEW RICHARD HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCGC
Contact information
Practice address
695 CHARLES E YOUNG DR S STE 5506, LOS ANGELES, CA 90095-8348
(310) 210-4368
(310) 206-5699
Mailing address
695 CHARLES E YOUNG DR S STE 5506, LOS ANGELES, CA 90095-8348
(310) 210-4368
(310) 206-5699
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC000669
CA
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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