Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AVI J HETTENA, M.D.
Active Sole ProprietorDR. AVI J HETTENA, M.D. is a Nephrology healthcare provider located in RANCHO SANTA FE, California. NPI 1013029487 is currently active in the NPPES registry. Verify at CMS.
Nephrology · RANCHO SANTA FE, CA
Registration Details
- NPI Number
- 1013029487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.969903663336 yrs)
- Last Updated
- Jan 11, 2017
- Licenses
-
G45263 (CA)G45263 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6037 LA GRANADA, SUITE CRANCHO SANTA FE, CA, 92067Browse CA providers · Browse ZIP 92067
- Phone
- 8587562116
- Fax
- 8584005113
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.