Cipollone Herrera, Heidi Vivian
Cipollone Herrera, Heidi Vivian is an sole proprietor health care provider with primary practice located at 25500 Rancho Niguel Rd Ste 110 , Laguna Niguel CA 92677-7373. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Cipollone Herrera, Heidi Vivian can be contacted via phone (949) 448-8821.Contact Information
Primary practice address
25500 Rancho Niguel Rd Ste 110
Laguna Niguel CA 92677-7373
Phone: (949) 448-8821
Fax: (949) 448-8831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A122576 | California |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 2080T0002X | A122576 | California |
Profile Details
| NPI number | 1629207378 |
|---|---|
| LBN Legal business name | Cipollone Herrera, Heidi Vivian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Apr 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629207378 | NPPES |
| Florida | Other | CH859Z | MEDICARE PTAN |
| Florida | MEDICAID | 001370800 | MEDICARE PTAN |
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