Individual
DR. HEATHERLY SMITH VANDEWEGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14445 OLIVE VIEW DR, DEPARTMENT OF PEDIATRICS, SYLMAR, CA 91342-1437
(818) 364-3233
(818) 364-3243
Mailing address
10724 LE CONTE AVE, LOS ANGELES, CA 90024-3112
(310) 968-4313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G67145
CA
Other
Enumeration date
06/29/2006
Last updated
03/23/2022
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