Lars Hertzog, M.D., F.A.C.S

NPI 1629164454 · on the registry since 2006 · sole proprietor

Practice

Address: 2977 Redondo Ave
Long Beach, CA 90806
Phone: (562) 426-1773
Fax: (562) 427-6228
Organisation at this address: Hertzog Optical, Llc
Mazonia Dialysis Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207W00000X
207W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California