Provider Demographics
NPI:1407878143
Name:HELMS, NANCY (PAC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HELMS
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-2334
Mailing Address - Country:US
Mailing Address - Phone:562-514-6599
Mailing Address - Fax:562-799-4901
Practice Address - Street 1:3801 KATELLA AVE
Practice Address - Street 2:#301
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3338
Practice Address - Country:US
Practice Address - Phone:562-799-4801
Practice Address - Fax:562-799-4901
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA 12562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine