Individual
BRETT HELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2330 UTAH AVE, EL SEGUNDO, CA 90245-4817
(877) 276-9842
Mailing address
PO BOX 207172, DALLAS, TX 75320-7172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TM2023-1033
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317343
STATE LICENSE
IL
Enumeration date
03/22/2016
Last updated
05/21/2025
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