Heinzerling, Keith Gregory

Heinzerling, Keith Gregory is an individual health care provider with primary practice located at 1301 20Th St Ste 540 , Santa Monica CA 90404-2118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Heinzerling, Keith Gregory can be contacted via phone (310) 582-7612.

Contact Information

Primary practice address
1301 20Th St Ste 540 Santa Monica CA 90404-2118
Phone: (310) 582-7612
Fax: (424) 277-6342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X A79201 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A79201 California

Profile Details

NPI number 1184724932
LBN Legal business name Heinzerling, Keith Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 13th, 2021 - about 4 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.

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