Individual
HEIDI CHRISTINA MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1403 LOMITA BLVD, SUITE 200, HARBOR CITY, CA 90710-2076
(310) 534-7600
Mailing address
529 XIMENO AVE, LONG BEACH, CA 90814-1730
(562) 243-6104
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A164206
CA
Other
Enumeration date
04/19/2017
Last updated
11/17/2025
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