Dehaan, Heather

Dehaan, Heather is an individual health care provider with primary practice located at 4699 Jamboree Rd , Newport Beach CA 92660-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dehaan, Heather can be contacted via phone (949) 557-0714.

Contact Information

Primary practice address
4699 Jamboree Rd Newport Beach CA 92660-2526
Fax: (949) 557-0715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C184298 California

Profile Details

NPI number 1063894715
LBN Legal business name Dehaan, Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated Jul 16th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063894715 NPPES
Florida MEDICAID ME129955

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