Organization
OLE A. HEGGENESS, D.O., INC
Active
Organization
OLE A. HEGGENESS, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLE A HEGGENESS D.O. (OWNER)
(909) 455-3369
Entity
Organization
Contact information
Practice address
21015 PATHFINDER RD, 100, DIAMOND BAR, CA 91765-4018
(909) 861-3511
Mailing address
21015 PATHFINDER RD, SUITE 100, DIAMOND BAR, CA 91765-4018
(909) 861-3511
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20A4925
CA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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