Individual provider · Type 1 NPI

Frederik Heath, MD, MS, MBA

Student in an Organized Health Care Education/Training Program · West Hollywood, CA

NPI number 1902609779 Active

Practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

4401 Palo Verde Rd
Irvine, CA 92617-4304

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1902609779

Frederik Heath, MD, MS, MBA's National Provider Identifier is 1902609779, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Hollywood, CA. The record was last updated on Apr 14, 2025.