Individual
RICHARD PAUL HEIDENFELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-8918
Mailing address
1115 STRATFORD AVE, SOUTH PASADENA, CA 91030-3417
(619) 435-4088
(619) 435-4088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A79836
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A79836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7829036
—
CA
Enumeration date
09/20/2006
Last updated
06/12/2019
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