Provider Demographics
NPI:1154660553
Name:VAN DER HEYDEN, JAMES JAYING (PA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JAYING
Last Name:VAN DER HEYDEN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1901 E 4TH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3918
Mailing Address - Country:US
Mailing Address - Phone:714-850-2060
Mailing Address - Fax:714-850-6438
Practice Address - Street 1:1901 E 4TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3918
Practice Address - Country:US
Practice Address - Phone:714-850-2060
Practice Address - Fax:714-850-6438
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2014-08-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical