Provider Demographics
NPI:1801411988
Name:DAVID W. HELLEWELL, D.P.M. INC
Entity Type:Organization
Organization Name:DAVID W. HELLEWELL, D.P.M. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:HELLEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:801-420-0434
Mailing Address - Street 1:17822 BEACH BLVD STE 407
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-7511
Mailing Address - Country:US
Mailing Address - Phone:714-841-3213
Mailing Address - Fax:714-841-0434
Practice Address - Street 1:17822 BEACH BLVD STE 407
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7511
Practice Address - Country:US
Practice Address - Phone:714-841-3213
Practice Address - Fax:714-841-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty