Individual
DR. ALAN MILES HEILPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18321 CLARK ST, TARZANA, CA 91356-3501
(818) 708-5170
(818) 705-2595
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G45755
CA
207P00000X
Emergency Medicine Physician
Primary
MD2014-0574
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G457550
—
CA
Enumeration date
06/04/2006
Last updated
06/25/2019
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