Whalio Doctors

NPI 1356773147

Heritage Valley Medical Group INC

Organisation Non-Pharmacy Dispensing Site Sewickley, PA

Practice location

Address
100 Hazel Ln, Sewickley, PA 15143-1249
Phone
(724) 266-0707
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence MD062061L (PA)

Registry record

NPI
1356773147
Entity type
Organization
NPI issued
2 Aug 2013
Record last updated
2 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.