Healthcare Provider Details

I. General information

NPI: 1699439232
Provider Name (Legal Business Name): HEARTBEAT MEDICAL GROUP OF CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 W 7TH ST STE 930
LOS ANGELES CA
90017-3476
US

IV. Provider business mailing address

156 W 56TH ST STE 1000
NEW YORK NY
10019-3936
US

V. Phone/Fax

Practice location:
  • Phone: 646-586-9908
  • Fax: 844-875-9993
Mailing address:
  • Phone: 646-586-9908
  • Fax: 844-875-6663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY D WESSLER
Title or Position: CEO/OWNER
Credential: MD
Phone: 646-586-9908