Individual
DR. AVI J HETTENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6037 LA GRANADA, SUITE C, RANCHO SANTA FE, CA 92067
(858) 756-2116
(858) 400-5113
Mailing address
PO BOX 7281, RANCHO SANTA FE, CA 92067-7281
(518) 637-8637
(415) 358-4754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G45263
CA
207RN0300X
Nephrology Physician
Primary
G45263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G452630
—
CA
01
—
110017611
MEDICARE RAILROAD
CA
Enumeration date
08/31/2006
Last updated
01/11/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us