Provider Demographics
NPI:1639129901
Name:HEAL, GEORGINA M (MD)
Entity Type:Individual
Prefix:
First Name:GEORGINA
Middle Name:M
Last Name:HEAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 UPPER RAGSDALE DR STE B270
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7845
Mailing Address - Country:US
Mailing Address - Phone:831-324-0593
Mailing Address - Fax:831-324-4793
Practice Address - Street 1:2 UPPER RAGSDALE DR STE B270
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7845
Practice Address - Country:US
Practice Address - Phone:831-324-0593
Practice Address - Fax:831-324-4793
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85249207RP1001X, 207RS0012X, 207RC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAN712XMedicare UPIN
CAHN222AMedicare UPIN