Healthcare Provider Details

I. General information

NPI: 1205946001
Provider Name (Legal Business Name): MICHAEL ALEXANDER HEYMANN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CORONA RD
CARMEL CA
93923-9600
US

IV. Provider business mailing address

PO BOX 222437
CARMEL CA
93922-2437
US

V. Phone/Fax

Practice location:
  • Phone: 831-626-8473
  • Fax: 831-626-6893
Mailing address:
  • Phone: 831-626-8473
  • Fax: 831-626-6893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA23938
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: