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NPI Code Detail

MEDICARE: RICHARD ALAN HEINER M.D.

MEDICARE: RICHARD ALAN HEINER 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
1207V00000XObstetrics & Gynecology PhysicianC51617CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710947692
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ALAN HEINER M.D.
Provider Business Mailing Address
First Line : 18 WHITE RIVER CIR
Second Line :
City : SALINAS
State : CA
Zip : 93906-4843
Country : US
Telephone Number : 831-320-1082
Fax Number :
Provider Business Practice Location Address
First Line : 1441 CONSTITUTION BLVD
Second Line : NATIVIDAD MEDICAL CENTER, BLDG 300
City : SALINAS
State : CA
Zip : 93906-3100
Country : US
Telephone Number : 831-751-3067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 03/25/2015

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