Individual provider · Type 1 NPI

Heather Alison Grady, PA-C

Surgical Physician Assistant · Mission Viejo, CA

NPI number 1942201553 Active

Practice location

26732 Crown Valley Pkwy, Suite 351
Mission Viejo, CA 92691-6306

Fax (949) 364-0317

Mailing address

41 Via Lavendera
Rancho Santa Margarita, CA 92688-1473

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X17503 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1942201553

Heather Alison Grady, PA-C's National Provider Identifier is 1942201553, issued on Aug 4, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mission Viejo, CA. The record was last updated on Dec 1, 2021.