Individual
DR. JESSICA HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11726 SAN VICENTE BLVD STE 680, LOS ANGELES, CA 90049-5049
(310) 435-4372
Mailing address
11726 SAN VICENTE BLVD STE 680, LOS ANGELES, CA 90049-5049
(310) 435-4372
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY17935
CA
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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