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NPI Code Detail

MEDICARE: RICHARD HEISS II MD

MEDICARE: RICHARD HEISS II MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG69342CA

General Provider Information

NPI Number : 1336561240
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD HEISS II MD
Provider Business Mailing Address
First Line : 4100 TRUXTUN AVE STE 200
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0656
Country : US
Telephone Number : 661-632-1540
Fax Number : 661-632-1538
Provider Business Practice Location Address
First Line : 4100 TRUXTUN AVE STE 200
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0656
Country : US
Telephone Number : 661-632-1540
Fax Number : 661-632-1538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2014
Last Update Date : 07/28/2023

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