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Dr. Keith Gregory Heinzerling

Internist Internist - Addiction Medicine

1301 20th St Ste 540
Santa Monica , California 90404-2118

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Image

Dr. Keith Gregory Heinzerling

Internist Internist - Addiction Medicine

1301 20th St Ste 540
Santa Monica , California 90404-2118

(310) 393-5659

Write a Review Save Call

Dr. Keith Gregory Heinzerling

Internist Internist - Addiction Medicine

1301 20th St Ste 540
Santa Monica , California 90404-2118

(310) 393-5659 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Internist - Addiction Medicine

Languages spoken

  • English

Location

1301 20th St Ste 540 Santa Monica , California 90404-2118

First Address

  • Dr. Keith Gregory Heinzerling
  • 1920 Colorado Ave
  • Santa Monica, CA
  • Zip : 90404-3414
  • Fax : (310) 393-5659
  • Phone : (310) 319-4700

Second Address

  • Dr. Keith Gregory Heinzerling
  • 1301 20th St Ste 540
  • Santa Monica, CA
  • Zip : 90404-2118
  • Fax : (424) 277-6342
  • Phone : (310) 582-7612

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FAQs


Where did Dr. Keith Gregory Heinzerling attend graduate school?

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Where did Dr. Keith Gregory Heinzerling do his residency?

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Where did Dr. Keith Gregory Heinzerling do his fellowship?

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Is Dr. Keith Gregory Heinzerling board certified?

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What type of doctor is Dr. Keith Gregory Heinzerling

Internist - Addiction Medicine

In what state does Dr. Keith Gregory Heinzerling practice in?

California

Where is Dr. Keith Gregory Heinzerling ’s practice located?

1301 20th St Ste 540 , Santa Monica, California, 90404-2118

What is Dr. Keith Gregory Heinzerling ’s gender?

Male

Is Dr. Keith Gregory Heinzerling a sole practitioner?

No

Is Dr. Keith Gregory Heinzerling accepting new patients?

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What languages does Dr. Keith Gregory Heinzerling speak?

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Does Dr. Keith Gregory Heinzerling accept insurance?

Yes, Dr. Keith Gregory Heinzerling accepts insurance

Does Dr. Keith Gregory Heinzerling offers telemedicine?

Dr. Keith Gregory Heinzerling has not indicated if he offers telemedicine

What is Dr. Keith Gregory Heinzerling ’s professional license number?

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What is Dr. Keith Gregory Heinzerling ’s NPI number?

1184724932

Does Dr. Keith Gregory Heinzerling have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist A79201 CA
N 111NI0900X Internist A79201 CA
Y 207RA0401X Internist - Addiction Medicine A79201 CA

National Provider Identifier

NPI 1184724932
Provider Name Dr. Keith Gregory Heinzerling
First Address Santa Monica, CA 90404-3414
Second Address Santa Monica, CA 90404-2118
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/09/2006
Last Update Date 13/04/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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