Individual
HEATHER J. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3142 VISTA WAY, STE 100, OCEANSIDE, CA 92056-3619
(866) 228-2236
(760) 754-3855
Mailing address
3142 VISTA WAY, STE 100, OCEANSIDE, CA 92056-3619
(866) 228-2236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G54992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G54992
MEDICAL LICENSE
CA
Enumeration date
12/01/2005
Last updated
12/19/2019
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