Healthcare Provider Details

I. General information

NPI: 1003890773
Provider Name (Legal Business Name): BEATE HELLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BEA HELLER DC

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 WARNER AVE STE 100
FOUNTAIN VALLEY CA
92708-3232
US

IV. Provider business mailing address

PO BOX 1248
HUNTINGTON BEACH CA
92647-1248
US

V. Phone/Fax

Practice location:
  • Phone: 714-898-0515
  • Fax:
Mailing address:
  • Phone: 714-898-0515
  • Fax: 714-841-1551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: