| Richard Heidenfelder Md | |
|
447 9th Ave San Diego CA 92101-7369 | |
| (619) 435-4088 | |
| (619) 435-4088 |
| Full Name | Richard Heidenfelder Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 447 9th Ave, San Diego, California |
| Authorized Official Name and Position | Richard Paul Heidenfelder (PRESIDENT) |
| Authorized Official Contact | 6194354088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Heidenfelder Md 826 Orange Ave # 605 Coronado CA 92118-2619 Ph: (619) 435-4088 | Richard Heidenfelder Md 447 9th Ave San Diego CA 92101-7369 Ph: (619) 435-4088 |
| NPI Number | 1255542908 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255542908 | NPI | - | NPPES |
| 00798360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A79836 (California) | Primary |
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