Provider Demographics
NPI:1093708018
Name:HEIFETZ, CLAUDE (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:
Last Name:HEIFETZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 DELTA FAIR BLVD
Mailing Address - Street 2:SUITE L
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-4019
Mailing Address - Country:US
Mailing Address - Phone:925-778-3288
Mailing Address - Fax:925-778-2410
Practice Address - Street 1:3700 DELTA FAIR BLVD
Practice Address - Street 2:SUITE L
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4019
Practice Address - Country:US
Practice Address - Phone:925-778-3288
Practice Address - Fax:925-778-2410
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC17487Medicare ID - Type Unspecified