Individual
DR. ELLEN K HEYNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, MAIL CODE 5018, SAN DIEGO, CA 92123-4223
(858) 966-4935
(858) 966-7525
Mailing address
3020 CHILDRENS WAY, MAIL CODE 5018, SAN DIEGO, CA 92123-4223
(858) 966-4935
(858) 966-7525
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G68996
CA
2084P0800X
Psychiatry Physician
G68996
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G68996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G689960
—
CA
Enumeration date
07/07/2006
Last updated
10/15/2015
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