Individual
HEIDI MARIE AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1323 3RD AVE, CHULA VISTA, CA 91911-4302
(619) 409-6900
(619) 409-6901
Mailing address
PO BOX 635141, SAN DIEGO, CA 92163-5141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61644
CA
363AM0700X
Medical Physician Assistant
Primary
PA61644
CA
Other
Enumeration date
07/07/2022
Last updated
11/19/2025
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