Provider Demographics
NPI:1184674145
Name:BROOME, HELEN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:ELIZABETH
Last Name:BROOME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 232410
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92193-2410
Mailing Address - Country:US
Mailing Address - Phone:858-249-6749
Mailing Address - Fax:
Practice Address - Street 1:3855 HEALTH SCIENCES DRIVE
Practice Address - Street 2:MOORES UCSD CANCER CENTER
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-0987
Practice Address - Country:US
Practice Address - Phone:858-822-6279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71604207ZH0000X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G716040Medicaid
CA00G716040Medicaid
CAWG71604AMedicare ID - Type Unspecified