Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alan W. Heller, MD, a Professional Medical Corporation

Organization Dermatology Physician · NPI 1083124598

Alan W. Heller, MD, a Professional Medical Corporation is a Dermatology Physician in Long Beach, California. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
7
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Practice location Address checks out

1760 Termino Ave Ste 114
Long Beach, CA 90804-2169
Phone: (562) 498-2459
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Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X
Plastic Surgery Physician Taxonomy 208200000X
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X

Record details

NPI number1083124598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teri Kruidhof — Nurse · (562) 498-2459
NPI enumeratedOctober 10, 2017
Last updated in NPPESOctober 10, 2017
Mailing address1760 Termino Ave Ste 114, Long Beach, CA 90804-2169

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