Samantha Mae Hietalati
MD | Pediatric Neonatal-Perinatal Medicine | Female
Samantha Mae Hietalati, MD is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Samantha Mae Hietalati is also known as
Samantha Mae Harder.
Current practice location of Samantha Mae Hietalati is
3010 Childrens Way, San Diego, California - 92123-4223. She can be contacted on phone at
858-966-5818.
Samantha Mae Hietalati is a sole proprietor of her business.
NPI number (Unique professional ID) for Samantha Mae Hietalati is
1245617489 which was assigned by NPPES on 27 Apr, 2015 and it was last updated on 12 Apr, 2022.
Samantha Mae Hietalati license number is
A162427 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in California.
Samantha Mae Hietalati is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Samantha Mae Hietalati basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Samantha Mae Hietalati |
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| Other Name : | Samantha Mae Harder |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Samantha Mae Hietalati address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3010 Childrens Way
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-966-5818 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245617489 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Apr, 2015 |
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| Last Updated On : | 12 Apr, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Mae Hietalati are as mentioned. Primary taxonomy code for Samantha Mae Hietalati, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | A162427 | CA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | A162427 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3020 Childrens Way # Mc5003
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-309-6300 |
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Business Location:
Patients can refer following map for directions to
Samantha Mae Hietalati practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.