Most Relevant Information
Provider Data
| NPI Number: | 1003048620 |
| Provider Name: | TINA LISA HECK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA20461 |
Most Important Dates
| Enumeration Date: | 08/14/2009 |
| Last Updated: | 06/11/2015 |
Provider Practice Location
77 CASA ST STE 201
SAN LUIS OBISPO
CA
934055806
Practice Location Phone/Fax
| Phone: | 8052691500 |
| Fax: |
Provider Mailing Location
2050 S BLOSSER RD
SANTA MARIA
CA
934587310
Provider Mailing Phone/Fax
| Phone: | 8053618028 |
| Fax: | 8053618097 |