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Organization

HEARTSTONE CA HEALTH PROVIDER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHANIEL RANCE PENA (CO-OWNER)
(818) 927-9576
Entity
Organization

Contact information

Practice address
3111 LOS FELIZ BLVD STE 210, LOS ANGELES, CA 90039-1585
(415) 425-0684
Mailing address
3111 LOS FELIZ BLVD STE 210, LOS ANGELES, CA 90039-1585
(415) 425-0684

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
08/07/2025
Last updated
08/13/2025
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