Healthcare Provider Details

I. General information

NPI: 1366587693
Provider Name (Legal Business Name): THOMAS JOSEPH HEFFERON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 E VALLEY PKWY SUITE H
ESCONDIDO CA
92027-2773
US

IV. Provider business mailing address

PO BOX 2427
VALLEY CENTER CA
92082-2427
US

V. Phone/Fax

Practice location:
  • Phone: 760-741-2828
  • Fax: 760-741-2831
Mailing address:
  • Phone: 760-749-6680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15094
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: