Active NPI
Lynn Annette Herzberg, COTA/C
- Occupational Therapy Assistant
- Laguna Hills, CA
National Provider Identifier
1003082637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1756
- Practice address
- 23293 S Pointe Dr
Laguna Hills, CA 92653-1447 - Phone
- (949) 770-5843
- NPI assigned
- May 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1756 | CA | Primary |
Addresses
Primary practice location
23293 S Pointe Dr
Laguna Hills, CA 92653-1447
Mailing address
19451 Dorado Dr
Trabuco Canyon, CA 92679-1610
Phone (949) 459-6277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1756 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209859200000",
"number": "1003082637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19451 DORADO DR",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926791610",
"telephone_number": "949-459-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23293 S POINTE DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531447",
"telephone_number": "949-770-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZBERG",
"first_name": "LYNN",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "COTA/C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-04",
"last_updated": "2008-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "1756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.