Organization · NPI-2

James A Heinrich M D INC

Otolaryngology, Plastic Surgery within the Head & Neck · Mission Viejo, CA

NPI number1386954030

StatusActive

Last updated in NPPESMar 12, 2024

Details

NPI: 1386954030
Entity type: Organization (NPI-2)
Legal business name: James A Heinrich M D INC
Organization subpart: No
Enumeration date: Oct 15, 2010
Certification date: Mar 12, 2024
Last updated: Mar 12, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207YX0007X	Otolaryngology, Plastic Surgery within the Head & Neck	G66486	CA	Yes

Practice location

26730 Crown Valley Pkwy Ste 250
Mission Viejo, CA 92691-8000

Phone 949-364-2440 · Fax 949-364-2778

Mailing address

26730 Crown Valley Pkwy Ste 250
Mission Viejo, CA 92691-8000

Phone 949-364-2440 · Fax 949-364-2778

Authorized official

James A Heinrich
Owner
9493642440

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