Heather Marie Guilbault, PA-C
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982148946
StatusActive
Last updated in NPPESOct 22, 2026
Details
- NPI
- 1982148946
- Entity type
- Individual (NPI-1)
- Name
- Ms. Heather Marie Guilbault
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2016
- Certification date
- Oct 22, 2026
- Last updated
- Oct 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA53158 | CA | Yes |
Practice location
9201 W Sunset Blvd Ste 305Los Angeles, CA 90069-3704
Phone 334-333-1630
Mailing address
1444 S Burnside AveLos Angeles, CA 90019-4014
Phone 334-333-1630
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