Skip Navigation

Provider Information for 1407385818

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

HEATHER WITT PA-C

Gender: FEMALE

Individual NPI: 1407385818

Calendar   Last Updated:  2020-03-02
  Certification Date:  2020-03-02

Details

Name Value
NPI 1407385818
Enumeration Date 2017-06-08
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2001 E 4TH ST STE 104
SANTA ANA, CA 92705-3916
United States

Phone: 657-230-7800 | Fax:
View Map External Link
Primary Practice Address 20072 SW BIRCH ST STE 230
NEWPORT BEACH, CA 92660-1506
United States

Phone: 949-514-8602 | Fax:
View Map External Link
Secondary Practice Address 2001 E 4TH ST STE 104
SANTA ANA, CA 92705-3916
United States

Phone: 657-230-7800 | Fax:
View Map External Link

7725 GATEWAY APT. 2565
IRVINE, CA 92618
United States

Phone: #60846918171234 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363A00000X - Physician Assistant