Organization
HEATHER FLAHERTY, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LEIGH FLAHERTY M.D. (OWNER)
(310) 717-2793
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLAZA, LOS ANGELES, CA 90095
(310) 206-4083
Mailing address
10649 ROCHESTER AVE, LOS ANGELES, CA 90024-5009
(310) 717-2793
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
A76925
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A769250
—
CA
Enumeration date
05/04/2010
Last updated
03/18/2011
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