Ole A. Heggeness, D.o., Inc

NPI 1245470376 - Clinic/Center - 261Q00000X

NPI Details
NPI 1245470376
Enumeration Date 03/02/2009
Last Updated 03/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name OLE A OLE
Position OWNER
Phone (909) 861-3511
Fax
Practice Location
21015 PATHFINDER RD
100
DIAMOND BAR CA, 91765-4018, US
Phone (909) 861-3511
Fax
Business Location
21015 PATHFINDER RD
SUITE 100
DIAMOND BAR CA, 91765-4018, US
Phone (909) 861-3511
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number 20A4925
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According to our database, Ole A. Heggeness, D.o., Inc NPI is 1245470376, taxonomy code is 261Q00000X and license number is 20A4925, license state is located at California. Ole A. Heggeness, D.o., Inc physically located at 21015 Pathfinder Rd, Diamond Bar CA, 91765-4018. NPI Number 1033115704 has the healthcare provider type.

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1245470376 NPI number is provided on an as is basis without warranty of any kind. 1245470376 is maintained by the National Plan & Provider Enumeration System. The contents of Ole A. Heggeness, D.o., Inc are for informational purposes only.