Provider Demographics
NPI:1184419566
Name:AYALA, HEIDY SELEN
Entity type:Individual
Prefix:
First Name:HEIDY
Middle Name:SELEN
Last Name:AYALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-3673
Mailing Address - Country:US
Mailing Address - Phone:408-857-5683
Mailing Address - Fax:
Practice Address - Street 1:16264 CHURCH ST STE 103
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-7130
Practice Address - Country:US
Practice Address - Phone:408-857-5683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator