Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A81147 | CA |
NPI | 1083702120 |
---|---|
Provider Name | Dr. Heather Suzanne Volpp |
First Address | Vista, CA 92083-6032 |
Second Address | Torrance, CA 90503-4354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 31/05/2016 |