# HERITAGE COLORADO PHYSICIAN ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1285257717
- **Authorized official:** ALBERT BRICCETTI (SHAREHOLDER)
- **Authorized official phone:** (951) 314-7304

## Contact information

- **Practice address:** 4170 S CLUB DR, COLORADO SPRINGS, CO 80906-4363
- **Practice address phone:** (818) 654-3465
- **Mailing address:** 8510 BALBOA BLVD STE 285, NORTHRIDGE, CA 91325-5804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2020
- **Last updated:** 05/19/2020