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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEAVEN THOMPSON

Active

HEAVEN THOMPSON is a Medical Physician Assistant healthcare provider located in VENICE, California. NPI 1104542224 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · VENICE, CA

Registration Details

NPI Number
1104542224
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2022 (3.8149539070946 yrs)
Last Updated
Jan 27, 2025

Practice Information

Address
503 OCEAN FRONT WALK
VENICE, CA, 902912403
Browse CA providers · Browse ZIP 90291
Phone
3103923070
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in VENICE, CA

Name Credential NPI
MRS. ALEXIS HELENE MURRAY PA-C 1740486166
BRETT H BARNES PA 1821338260
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.