# DAVID HESKIAOFF MD A PROFESSIONAL CORP

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

## Provider details

- **NPI number:** 1629279187
- **Authorized official:** GINA KIA (ASSISTANT CONTROLLER)
- **Authorized official phone:** (818) 784-3878

## Contact information

- **Practice address:** 5170 SEPULVEDA BLVD, \#100, SHERMAN OAKS, CA 91403-1171
- **Practice address phone:** (818) 784-3878
- **Mailing address:** 5170 SEPULVEDA BLVD, \#100, SHERMAN OAKS, CA 91403-1171
- **Mailing address phone:** (818) 784-3878

## Taxonomy

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

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 02/28/2013