MATTHEW RICHARD HERZOG LCGC
NPI 1043722887
Genetic Counselor, MS in Los Angeles, CA

Active since November 02, 2017
695 CHARLES E YOUNG DR S STE 5506, LOS ANGELES, CA 90095(310) 210-4368(310) 206-5699 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Richard Herzog Lcgc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW RICHARD HERZOG LCGC (NPI 1043722887) is an individual genetic counselor, ms provider in Los Angeles, California, licensed in California (GC000669) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1043722887
Entity TypeIndividualMale
Primary Taxonomy170300000X
Provider Legal NameMATTHEW RICHARD HERZOGCredential: LCGC
Location Address695 CHARLES E YOUNG DR S STE 5506Los Angeles, CA 90095-8348
Mailing Address695 Charles E Young Dr S Ste 5506Los Angeles, CA 90095-8348 · (310) 210-4368 · Fax (310) 206-5699
Fax(310) 206-5699
Sole ProprietorNo
Enumeration DateNovember 2, 2017
NPI 1043722887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
License Licensed in CA · GC000669
Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

695 CHARLES E YOUNG DR S STE 5506, Los Angeles, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043722887, enumerated as an "individual" on November 02, 2017.

The provider is located at 695 CHARLES E YOUNG DR S STE 5506 LOS ANGELES, CA 90095 and the phone number is (310) 210-4368.

Genetic Counselor, MS with taxonomy code 170300000X.