Healthcare Provider Details

I. General information

NPI: 1326964974
Provider Name (Legal Business Name): MATTHEW HEISIG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E ANAHEIM ST
LONG BEACH CA
90813-3110
US

IV. Provider business mailing address

101 ALAMITOS AVE APT 323
LONG BEACH CA
90802-6186
US

V. Phone/Fax

Practice location:
  • Phone: 562-246-6414
  • Fax:
Mailing address:
  • Phone: 602-501-0498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC36201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: