| Stacey M. Hein Md. Apc | |
|
15215 National Ave Ste 200 Los Gatos CA 95032-2425 | |
| (408) 358-1841 | |
| (408) 356-6970 |
| Full Name | Stacey M. Hein Md. Apc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15215 National Ave Ste 200, Los Gatos, California |
| Authorized Official Name and Position | Stacey M Hein (PROVIDER) |
| Authorized Official Contact | 4083581841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey M. Hein Md. Apc 15215 National Ave Ste 200 Los Gatos CA 95032-2425 Ph: (408) 358-1841 | Stacey M. Hein Md. Apc 15215 National Ave Ste 200 Los Gatos CA 95032-2425 Ph: (408) 358-1841 |
| NPI Number | 1609425255 |
|---|---|
| Provider Enumeration Date | 09/06/2019 |
| Last Update Date | 09/06/2019 |
| Medicare PECOS PAC ID | 6406185529 |
|---|---|
| Medicare Enrollment ID | O20190913002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609425255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Stacey M Hein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568429983 PECOS PAC ID: 9739204611 Enrollment ID: I20100915000841 |
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