Heritage Provider Network, Inc.
NPI #1881720001 in Northridge, California
Provider Information
- NPI Number
- 1881720001
- Entity Type
- Organization
- Organization Name
- Heritage Provider Network, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Sep 20, 2007
Practice Location
- Address
- 8510 BALBOA BLVD
- Address 2
- SUITE 275
- City
- Northridge
- State
- California
- ZIP Code
- 91325-3583
- Phone
- (818) 654-3400
Authorized Official
- Name
- MRS. CARLA COURTNEY
- Title
- DIRECTOR OF FFS
- Phone
- (661) 726-3805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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