Healthcare Provider Details

I. General information

NPI: 1912902768
Provider Name (Legal Business Name): NEIL HOWARD HECHT D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 03/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18411 CLARK ST STE 104
TARZANA CA
91356-3525
US

IV. Provider business mailing address

18411 CLARK ST STE 104
TARZANA CA
91356-3506
US

V. Phone/Fax

Practice location:
  • Phone: 818-345-6500
  • Fax: 818-345-6509
Mailing address:
  • Phone: 818-345-6500
  • Fax: 818-345-6509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE2129
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: