NPI 1881720001

Heritage Provider Network, INC.

Organisation Health Maintenance Organization Northridge, CA

Practice location

Address: 8510 Balboa Blvd Suite 275, Northridge, CA 91325-3583
Phone: (818) 654-3400
Fax: (818) 654-3460
Mailing address: PO Box 7007, Lancaster, CA 93539-7007

Authorised official

Name: Carla Courtney
Title: Director of Ffs
Phone: (661) 726-3805

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1881720001
Entity type: Organization
NPI issued: 23 Feb 2007
Record last updated: 20 Sep 2007

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.