Provider Demographics
NPI:1548242431
Name:ELSENPETER, HELEN ROZANNA (DC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:ROZANNA
Last Name:ELSENPETER
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 1:1167 W VALLEY VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-2229
Mailing Address - Country:US
Mailing Address - Phone:714-870-0977
Mailing Address - Fax:714-870-5053
Practice Address - Street 1:2900 BREA BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-529-1077
Practice Address - Fax:714-529-3777
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU65205Medicare ID - Type Unspecified