Provider Demographics
NPI:1871630046
Name:HECHT, ROBERT ALLEN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLEN
Last Name:HECHT
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18003 SKY PARK CIR STE J
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6535
Mailing Address - Country:US
Mailing Address - Phone:949-752-7335
Mailing Address - Fax:949-752-7304
Practice Address - Street 1:18003 SKY PARK CIR STE J
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6535
Practice Address - Country:US
Practice Address - Phone:949-752-7335
Practice Address - Fax:949-752-7304
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 25700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC25700Medicare ID - Type Unspecified
CAU89311Medicare UPIN