Individual
JAYME E. HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 SANTA MONICA BLVD STE 104, SANTA MONICA, CA 90404-2429
(310) 829-9935
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A116632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A1166320
—
CA
Enumeration date
06/12/2009
Last updated
07/21/2022
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