Individual
DENEA MARIE HEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31341 NIGUEL RD STE F, LAGUNA NIGUEL, CA 92677-4118
(949) 444-5901
Mailing address
6 VIA CARISMA, ALISO VIEJO, CA 92656-6205
(949) 370-0708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63813
CA
363AM0700X
Medical Physician Assistant
PA63813
CA
Other
Enumeration date
07/17/2023
Last updated
02/27/2024
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