Roberta Joy Hayertz
Pediatrician General Practice Physician Pediatric Endocrinologist
912 Printz Rd
Arroyo Grande
, California 93420-5026
Roberta Joy Hayertz
Pediatrician General Practice Physician Pediatric Endocrinologist
912 Printz Rd
Arroyo Grande
, California 93420-5026
(805) 473-0297
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Roberta Joy Hayertz
- Po Box 1419
- Arroyo Grande, CA
- Zip : 93421-1419
- Phone : (805) 473-0297
Second Address
- Roberta Joy Hayertz
- 912 Printz Rd
- Arroyo Grande, CA
- Zip : 93420-5026
- Phone : (805) 473-0297
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Is Roberta Joy Hayertz a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | A-25515 | CA |
| N | 2080P0205X | Pediatric Endocrinologist | A-25515 | CA |
| N | 208D00000X | General Practice Physician | A-25515 | CA |
National Provider Identifier
| NPI | 1184972226 |
|---|---|
| Provider Name | Roberta Joy Hayertz |
| First Address | Arroyo Grande, CA 93421-1419 |
| Second Address | Arroyo Grande, CA 93420-5026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2012 |
| Last Update Date | 21/08/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.