Healthcare Provider Details

I. General information

NPI: 1720465032
Provider Name (Legal Business Name): AARON HEFFNER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2015
Last Update Date: 11/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27201 TOURNEY RD
SANTA CLARITA CA
91355-1854
US

IV. Provider business mailing address

27201 TOURNEY RD
SANTA CLARITA CA
91355-1854
US

V. Phone/Fax

Practice location:
  • Phone: 800-700-8705
  • Fax:
Mailing address:
  • Phone: 202-641-0019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: