Most Relevant Information
Provider Data
| NPI Number: | 1003296039 |
| Provider Name: | CHRISTINA HERZOG-KABISCH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | ASW62270 |
Most Important Dates
| Enumeration Date: | 06/04/2015 |
| Last Updated: | 04/12/2024 |
Provider Practice Location
180 VIA VERDE STE 200
SAN DIMAS
CA
917733993
Practice Location Phone/Fax
| Phone: | 9095991227 |
| Fax: |
Provider Mailing Location
180 VIA VERDE STE 200
SAN DIMAS
CA
917733993
Provider Mailing Phone/Fax
| Phone: | 9095991227 |
| Fax: |