Provider Demographics
NPI:1497182497
Name:HENG MEDICAL, INC
Entity Type:Organization
Organization Name:HENG MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DERMATOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MADALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-484-1033
Mailing Address - Street 1:500 PASEO CAMARILLO
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5900
Mailing Address - Country:US
Mailing Address - Phone:805-484-1033
Mailing Address - Fax:805-482-7213
Practice Address - Street 1:500 PASEO CAMARILLO
Practice Address - Street 2:SUITE 100
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5900
Practice Address - Country:US
Practice Address - Phone:805-484-1033
Practice Address - Fax:805-482-7213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty