Provider Demographics
NPI:1467831388
Name:RIZZA, ELIZABETH ROSE HELLER (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ROSE HELLER
Last Name:RIZZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ROSE
Other - Last Name:HELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3301 C ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3367
Mailing Address - Country:US
Mailing Address - Phone:916-551-2621
Mailing Address - Fax:916-319-7042
Practice Address - Street 1:3301 C ST STE 1400
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3367
Practice Address - Country:US
Practice Address - Phone:916-551-2621
Practice Address - Fax:916-319-7042
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD468274207N00000X
PAMT210543390200000X
CAA172737207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program