Healthcare Provider Details

I. General information

NPI: 1720118656
Provider Name (Legal Business Name): DAVID WEEKS HEILMAN M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 NATIVIDAD RD ROOM 200
SALINAS CA
93906-3122
US

IV. Provider business mailing address

309 11TH ST
PACIFIC GROVE CA
93950-3520
US

V. Phone/Fax

Practice location:
  • Phone: 831-784-2150
  • Fax: 831-772-8154
Mailing address:
  • Phone: 831-642-9984
  • Fax: 831-772-8154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberG51953
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: