# GREGORY T. HEINEN, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023473709
- **Authorized official:** GREG HEINEN M.D. (OWNER)
- **Authorized official phone:** (626) 574-9745

## Contact information

- **Practice address:** 301 W HUNTINGTON DR, SUITE 617, ARCADIA, CA 91007-3462
- **Practice address phone:** (626) 574-9745
- **Mailing address:** 301 W HUNTINGTON DR, SUITE 617, ARCADIA, CA 91007-3462
- **Mailing address phone:** (626) 574-9745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |

## Other

- **Enumeration date:** 12/22/2015
- **Last updated:** 12/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZZ75817Z | — | CA |