Healthcare Provider Details

I. General information

NPI: 1114004470
Provider Name (Legal Business Name): STEVE DANIEL HEFFELFINGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41765 12TH ST W STE D
PALMDALE CA
93551-1422
US

IV. Provider business mailing address

4083 W AVENUE L # 341
LANCASTER CA
93536-4202
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-5988
  • Fax: 661-948-6562
Mailing address:
  • Phone: 661-948-5988
  • Fax: 661-948-6562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC23274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: