Individual
DR. LARS H HERTZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
2977 REDONDO AVE, LONG BEACH, CA 90806-2445
(562) 426-1773
(562) 427-6228
Mailing address
2977 REDONDO AVE, LONG BEACH, CA 90806
(562) 426-1773
(562) 427-6228
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A71446
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A714460
—
CA
Enumeration date
10/05/2006
Last updated
03/12/2008
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