Justin B. Heller,M.D., Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A111496 Issued in CA

Legal business name

JUSTIN B. HELLER,M.D., INC

Doing business as

Heller Plastic Surgery

Practice address

23838 Valencia Blvd
Suite 260
Valencia, CA 91355-5319

Phone

(661) 233-4949

NPI assigned

Sep 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin Boyd Heller, M.D.

Title

President

Phone

(817) 209-5309

Specialties & licenses 1

Addresses

Other names 1

• Heller Plastic Surgery Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1609244417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15911 WARM SPRINGS DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913874043",
            "telephone_number": "661-233-4949",
            "fax_number": "661-705-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23838 VALENCIA BLVD",
            "address_2": "SUITE 260",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555319",
            "telephone_number": "661-233-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN B. HELLER,M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-209-5309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A111496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heller Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic Surgery Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.