Provider Demographics
NPI:1255485389
Name:WANG, HELEN (DC)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 CASTRO ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-2013
Mailing Address - Country:US
Mailing Address - Phone:408-309-9688
Mailing Address - Fax:409-309-9688
Practice Address - Street 1:795 CASTRO ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2013
Practice Address - Country:US
Practice Address - Phone:408-309-9688
Practice Address - Fax:409-309-9688
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor