| Heidi Dahl-rosenbaum, Md, Inc. | |
|
530 W Ojai Ave Ste 208 Ojai CA 93023-2472 | |
| (805) 223-0700 | |
| Not Available |
| Full Name | Heidi Dahl-rosenbaum, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 530 W Ojai Ave Ste 208, Ojai, California |
| Authorized Official Name and Position | Heidi A Dahl-rosenbaum (PRESIDENT) |
| Authorized Official Contact | 8052230700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Dahl-rosenbaum, Md, Inc. 530 W Ojai Ave Ste 208 Ojai CA 93023-2472 Ph: (805) 223-0700 | Heidi Dahl-rosenbaum, Md, Inc. 530 W Ojai Ave Ste 208 Ojai CA 93023-2472 Ph: (805) 223-0700 |
| NPI Number | 1801437371 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Medicare PECOS PAC ID | 8325471295 |
|---|---|
| Medicare Enrollment ID | O20191206001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801437371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Heidi Avenelle Dahl-rosenbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851436638 PECOS PAC ID: 9335472778 Enrollment ID: I20190617003388 |
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