MEDICARE: LELA HEZA

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	13933640-1204	UT

General Provider Information

NPI Number	:	1558949248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LELA HEZA

Provider Business Mailing Address
First Line	:	9071 S 1300 W STE 205
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-6725
Country	:	US
Telephone Number	:	805-423-2822
Fax Number	:

Provider Business Practice Location Address
First Line	:	9071 S 1300 W STE 205
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-6725
Country	:	US
Telephone Number	:	805-423-2822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	09/19/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1124102595 — WASATCH PEDIATRICS, INC
Practice Location Address:

9071 S 1300 W STE 205
WEST JORDAN, UT
84088-6725

Practice Phone: 801-453-9625
Practice Fax: 801-944-7347

1235531641 — MRS. DIANA ELAINE BALLARD
Practice Location Address:

9071 S 1300 W STE 210
WEST JORDAN, UT
84088-6725

Practice Phone: 801-833-1291
Practice Fax:

1831664341 — LAUREN WILDE
Practice Location Address:

9071 S 1300 W STE 205
WEST JORDAN, UT
84088-6725

Practice Phone: 801-453-9625
Practice Fax: 801-944-7347

1831113786 — PAUL DAVID HUGHES PT
Practice Location Address:

1925 ANTIGUA RD
WEST PALM BEACH, FL
33406-6725

Practice Phone: 561-965-5507
Practice Fax:

1003032343 — DR. CARA LEANN SMITH PSY.D.
Practice Location Address:

1218 SOUTH OLIVE AVE.
WEST PALM BEACH, FL
33401-6725

Practice Phone: 561-641-3086
Practice Fax: 561-641-3086

Directions to “ LELA HEZA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.