Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A72698 | CA |
N | 2084N0402X | Child Neurologist | 0101248173 | VA |
Y | 2084N0402X | Child Neurologist | A72698 | CA |
N | 2084N0402X | Child Neurologist | MD038986 | DC |
NPI | 1164590501 |
---|---|
Provider Name | Dr. Jonathan Harris Hecht |
First Address | Pleasant Hill, CA 94523-2147 |
Second Address | Pleasant Hill, CA 94523-2147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 04/03/2014 |