Individual
HEIDI HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 SUNSET BLVD., LOS ANGELES, CA 90027
(323) 377-2683
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2814
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
NP21611
CA
363LF0000X
Family Nurse Practitioner
21611
CA
Other
Enumeration date
05/28/2013
Last updated
08/22/2017
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