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Dr. Christian S Heywood, MD
Specialist in Capitola, California
NPI 1942469952

Christian S Heywood is a Specialist based in Capitola, CA. Christian S Heywood practices in Capitola, CA and has the professional credentials of MD. The NPI Number for Christian S Heywood is 1942469952 and holds a License No. (California).

The current practice location address for Christian S Heywood is 4140 Jade St Ste 100, Capitola, CA and can be reached out via phone at 831-475-4024 and via fax at 831-475-4344.

Location: 4140 Jade St Ste 100, Capitola, CA, 95010-3940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942469952
Provider Name
Christian S Heywood
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4140 Jade St Ste 100, Capitola, CA, 95010-3940
Phone Number
831-475-4024
Fax Number
831-475-4344
Provider Enumeration Date
06/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6740500001 01 CA GROUP MEDICARE PTAN
1124398235 01 CA GROUP NPI
CA245861 01 CA GROUP MEDICARE PIN
A108711 01 CA STATE LICENSE
6740500002 01 CA GROUP MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4140 Jade St Ste 100
City
Capitola
State
California
Zip
95010-3940
Phone Number
831-475-4024
Fax Number
831-475-4344
person
Provider Business Mailing Address Details
Address
4140 Jade St Ste 100
City
Capitola
State
California
Zip
95010-3940
Phone Number
831-475-4024
Fax Number
831-475-4344
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A108711 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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