Provider Demographics
NPI:1164590501
Name:HECHT, JONATHAN HARRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:HARRIS
Last Name:HECHT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 TAYLOR BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2147
Mailing Address - Country:US
Mailing Address - Phone:925-691-9688
Mailing Address - Fax:925-691-5091
Practice Address - Street 1:400 TAYLOR BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2147
Practice Address - Country:US
Practice Address - Phone:925-691-9688
Practice Address - Fax:925-691-5091
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2014-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72698208000000X, 2084N0402X
VA01012481732084N0402X
DCMD0389862084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics