| Ole A. Heggeness, D.o., Inc | |
|
21015 Pathfinder Rd 100 Diamond Bar CA 91765-4018 | |
| (909) 861-3511 | |
| Not Available |
| Full Name | Ole A. Heggeness, D.o., Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 21015 Pathfinder Rd, Diamond Bar, California |
| Authorized Official Name and Position | Ole A Heggeness (OWNER) |
| Authorized Official Contact | 9094553369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ole A. Heggeness, D.o., Inc 21015 Pathfinder Rd Suite 100 Diamond Bar CA 91765-4018 Ph: (909) 861-3511 | Ole A. Heggeness, D.o., Inc 21015 Pathfinder Rd 100 Diamond Bar CA 91765-4018 Ph: (909) 861-3511 |
| NPI Number | 1245470376 |
|---|---|
| Provider Enumeration Date | 03/02/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245470376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20A4925 (California) | Primary |
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