MEDICARE: DR. HEATHER SUZANNE VOLPP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	A81147	CA

General Provider Information

NPI Number	:	1083702120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER SUZANNE VOLPP M.D.

Provider Business Mailing Address
First Line	:	2067 W VISTA WAY
Second Line	:	STE 140
City	:	VISTA
State	:	CA
Zip	:	92083-6032
Country	:	US
Telephone Number	:	310-371-1388
Fax Number	:	310-371-3439

Provider Business Practice Location Address
First Line	:	20911 EARL ST STE 301
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-4354
Country	:	US
Telephone Number	:	310-371-1388
Fax Number	:	310-371-3439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	05/31/2016

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