Organization
ANDREW W HESSELTINE, M.D., INC
Active
Other names
Inland Pain Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW W HESSELTINE M.D. (MEDICAL DIRECTOR)
(909) 887-2991
Entity
Organization
Contact information
Practice address
1850 E WASHINGTON ST, COLTON, CA 92324-4621
(909) 887-2991
(909) 887-5694
Mailing address
1850 E WASHINGTON ST, COLTON, CA 92324-4621
(909) 887-2991
(909) 887-5694
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A66517
CA
363A00000X
Physician Assistant
18753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FNP 34858
FICTITIOUS NAME PERMIT
CA
Enumeration date
02/12/2007
Last updated
02/01/2023
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