Individual
HEAVEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
Mailing address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
CA
Enumeration date
10/19/2022
Last updated
01/27/2025
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