Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH GREGORY HEINZERLING, MD
ActiveDR. KEITH GREGORY HEINZERLING, MD is a Addiction Medicine (Internal Medicine) healthcare provider located in SANTA MONICA, California. NPI 1184724932 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · SANTA MONICA, CA
Registration Details
- NPI Number
- 1184724932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.929559772838 yrs)
- Last Updated
- Apr 13, 2021
- Licenses
-
A79201 (CA)A79201 (CA)
Practice Information
- Address
-
1301 20TH ST STE 540SANTA MONICA, CA, 904042118Browse CA providers · Browse ZIP 90404
- Phone
- 3105827612
- Fax
- 4242776342
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Internal Medicine
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.