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Individual

DR. GARY ALLEN HERFINDAHL

Active
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Individual

DR. GARY ALLEN HERFINDAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G51667
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G51667
CA
208600000X
Surgery Physician
G51667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G516670
BLUE SHIELD OF CALIFORNIA
CA
05
00G516670
CA
01
0662956
CHAMPUS
SC
05
172614
OR
01
G51667
BLUE CROSS OF CALIFORNIA
CA
Enumeration date
07/13/2006
Last updated
09/11/2025
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