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Organization
RICHARD HEIDENFELDER MD
Active
Organization
RICHARD HEIDENFELDER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PAUL HEIDENFELDER MD (PRESIDENT)
(619) 435-4088
Entity
Organization
Contact information
Practice address
447 9TH AVE, SAN DIEGO, CA 92101-7369
(619) 435-4088
(619) 435-4088
Mailing address
826 ORANGE AVE # 605, CORONADO, CA 92118-2619
(619) 435-4088
(619) 435-4088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A79836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00798360
—
CA
Enumeration date
05/24/2007
Last updated
04/08/2013
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