Organization
ALAN W. HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
ALAN W. HELLER, M.D., A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI KRUIDHOF (NURSE)
(562) 498-2459
Entity
Organization
Contact information
Practice address
1760 TERMINO AVE STE 114, LONG BEACH, CA 90804-2169
(562) 498-2459
Mailing address
1760 TERMINO AVE STE 114, LONG BEACH, CA 90804-2169
(562) 498-2459
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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