Provider Demographics
NPI:1215815659
Name:HEARN, JOSEPH MAURICE
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:MAURICE
Last Name:HEARN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11660 CHURCH ST APT 553
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0501
Mailing Address - Country:US
Mailing Address - Phone:909-246-7556
Mailing Address - Fax:
Practice Address - Street 1:11660 CHURCH ST APT 553
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0501
Practice Address - Country:US
Practice Address - Phone:909-246-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner