Organization
GREGORY T. HEINEN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HEINEN M.D. (OWNER)
(626) 574-9745
Entity
Organization
Contact information
Practice address
301 W HUNTINGTON DR, SUITE 617, ARCADIA, CA 91007-3462
(626) 574-9745
Mailing address
301 W HUNTINGTON DR, SUITE 617, ARCADIA, CA 91007-3462
(626) 574-9745
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75817Z
—
CA
Enumeration date
12/22/2015
Last updated
12/22/2015
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