Individual
DR. HEATHER KIMBERLY MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2602 1ST AVE STE 100, SAN DIEGO, CA 92103-6529
(619) 234-2158
Mailing address
101 MARKET ST, UNIT 419, SAN DIEGO, CA 92101-6800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A153551
CA
Other
Enumeration date
06/16/2010
Last updated
02/03/2020
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