Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | C53474 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | C53474 | CA |
NPI | 1255583118 |
---|---|
Provider Name | Heather Kimberly Hindo |
First Address | West Hollywood, CA 90048-1804 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 29/11/2021 |