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NPI Code Detail

MEDICARE: MRS. BEATRIZ BETSAIDA HEISER

MEDICARE: MRS. BEATRIZ BETSAIDA HEISER
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
11041C0700XClinical Social Worker73550CA

General Provider Information

NPI Number : 1720392269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BEATRIZ BETSAIDA HEISER
Provider Business Mailing Address
First Line : 287 LORTON AVE
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-4203
Country : US
Telephone Number : 877-505-7147
Fax Number :
Provider Business Practice Location Address
First Line : 287 LORTON AVE
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-4203
Country : US
Telephone Number : 877-505-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2010
Last Update Date : 06/01/2020

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Directions to “ MRS. BEATRIZ BETSAIDA HEISER ” Practice Location

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