Individual
DR. LARRY D HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 BISHOP ST STE 510, SAN LUIS OBISPO, CA 93401-4665
(805) 541-4700
(805) 541-4713
Mailing address
1230 MARSH ST, SAN LUIS OBISPO, CA 93401-3326
(805) 541-4700
(805) 541-4713
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G25538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G25538
MEDICAL LICENSE
CA
Enumeration date
07/20/2006
Last updated
01/02/2026
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