Individual provider · Type 1 NPI

Chandler Lewis Heflin

Medical Physician Assistant · Santa Monica, CA

NPI number 1962200964 Active

Practice location

907 Pico Blvd
Santa Monica, CA 90405-1326

Call (310) 314-6200 Map

Mailing address

1407 Brockton Ave Apt 16
Los Angeles, CA 90025-2142

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1962200964

Chandler Lewis Heflin's National Provider Identifier is 1962200964, issued on Mar 5, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Monica, CA. The record was last updated on Mar 5, 2025.