Heitz, Daniel R

Heitz, Daniel R is an individual health care provider with primary practice located at 1798 N Garey Ave , Pomona CA 91767-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Heitz, Daniel R can be contacted via phone (909) 865-9535.

Contact Information

Primary practice address
1798 N Garey Ave Pomona CA 91767-2918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G71019 California

Profile Details

NPI number 1962550376
LBN Legal business name Heitz, Daniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1962550376 NPPES
California Other RHL142147 DEPT OF HEALTH SERVICES
California MEDICAID 00G710190 DEPT OF HEALTH SERVICES

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