Hettena, Avi J

Hettena, Avi J is an sole proprietor health care provider with primary practice located at 6037 La Granada, Suite C , Rancho Santa Fe CA 92067. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Hettena, Avi J can be contacted via phone (858) 756-2116.

Contact Information

Primary practice address
6037 La Granada, Suite C Rancho Santa Fe CA 92067
Phone: (858) 756-2116
Fax: (858) 400-5113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G45263 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G45263 California

Profile Details

NPI number 1013029487
LBN Legal business name Hettena, Avi J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jan 11th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013029487 NPPES
California MEDICAID 00G452630
California Other 110017611

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