Individual
DANIEL R HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9535
Mailing address
PO BOX 487, NEWBURY PARK, CA 91319-0487
(815) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G71019
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G710190
—
CA
01
—
RHL142147
DEPT OF HEALTH SERVICES
CA
Enumeration date
01/08/2007
Last updated
03/07/2023
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