Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lee M. Herzog, MBA, PSYD

Individual provider Psychoanalyst · NPI 1306087176

Dr. Lee M. Herzog, MBA, PSYD is a Psychoanalyst in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MBA — Master of Business Administration
A graduate business degree.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

11911 San Vicente Blvd Ste 270
Los Angeles, CA 90049-5086
Phone: (310) 712-2501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 18054 (CA)
Psychoanalyst Taxonomy 102L00000X · Licence PSY 18054 (CA)

Record details

NPI number1306087176
Entity typeIndividual (Type 1)
GenderMale
Credentials MBA , PSYD
Sole proprietorYes
NPI enumeratedMarch 9, 2009
Last updated in NPPESMarch 9, 2009

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