| Doctor Name: | HEATHER ELIZABETH MCDONALD |
| NPI Number: | 1003142886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 20A10617 |
| Business Practice Address: | 1125 Via Verde San Dimas, CA - 917734400 |
| Business Phone Number: | 9095929778 |
| Business Fax Number: | 9095996126 |
| Mailing Address: | 1125 Via Verde, SAN DIMAS |
| State: | CA |
| Postal Code: | 917734400 |
| Phone Number: | 9095929778 |
| Fax Number: | 9095996126 |
| NPI Enumeration Date: | 10/28/2009 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A10617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |