Michael Heffernan, MD

NPI 1518923432 · on the registry since 2006

Practice

Address: 15 Santa Rosa St
San Luis Obispo, CA 93405
Phone: (805) 541-2650
Fax: (805) 541-4043
Organisation at this address: R Jeffrey Herten Md Inc
San Luis Dermatology, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 207N00000X
207N00000X
Also registered as: 207N00000X
207N00000X
Licence states on file: OH, IN, CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California