Healthcare Provider Details

I. General information

NPI: 1932832102
Provider Name (Legal Business Name): HEALTHCARE HEROES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 07/06/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3073 DAPPLEGRAY LN
NORCO CA
92860-4141
US

IV. Provider business mailing address

1439 W CHAPMAN AVE 236
ORANGE CA
92868-2738
US

V. Phone/Fax

Practice location:
  • Phone: 714-988-4202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL COLONE
Title or Position: OWNER
Credential: PA
Phone: 951-858-3543