Individual
DR. MADALENE C. HENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14901 RINALDI ST, SUITE 201, MISSION HILLS, CA 91345-1204
(818) 838-6716
(818) 838-9279
Mailing address
777 FLOWER ST, SUITE A, GLENDALE, CA 91201-3015
(818) 637-2000
(818) 242-8761
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A31967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A319670
—
CA
01
—
050394
BLUE CROSS
CA
05
—
RHM08608F
—
CA
05
—
RHM08609F
—
CA
05
—
RHM18553H
—
CA
05
—
ZZT40394F
—
CA
Enumeration date
11/17/2005
Last updated
07/09/2007
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