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Heidi Christina Mock, M.D.

General Practice in Harbor City, CA. Individual provider (NPI-1).

NPI number1982138699
StatusActive
Last updated in NPPESNov 17, 2025

Details

NPI
1982138699
Entity type
Individual (NPI-1)
Name
Heidi Christina Mock
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2017
Certification date
Nov 17, 2025
Last updated
Nov 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeA164206CAYes

Practice location

1403 Lomita Blvd
Suite 200
Harbor City, CA 90710-2076

Phone 310-534-7600

Mailing address

529 Ximeno Ave
Long Beach, CA 90814-1730

Phone 562-243-6104

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