Provider Demographics
NPI:1912902768
Name:HECHT, NEIL HOWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:HOWARD
Last Name:HECHT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18411 CLARK ST
Mailing Address - Street 2:STE 104
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3506
Mailing Address - Country:US
Mailing Address - Phone:818-345-6500
Mailing Address - Fax:818-345-6509
Practice Address - Street 1:18411 CLARK ST STE 104
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3525
Practice Address - Country:US
Practice Address - Phone:818-345-6500
Practice Address - Fax:818-345-6509
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2129213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA480009246OtherRAILROAD
CAE2129Medicare PIN
CA480009246OtherRAILROAD
CA1050690001Medicare NSC