Provider Demographics
NPI:1982635322
Name:STANDIFORD HELM II, M.D. INC.
Entity Type:Organization
Organization Name:STANDIFORD HELM II, M.D. INC.
Other - Org Name:PACIFIC COAST PAIN MANAGEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STANDIFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:HELM
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:949-462-0560
Mailing Address - Street 1:PO BOX 2549
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-0549
Mailing Address - Country:US
Mailing Address - Phone:949-462-0560
Mailing Address - Fax:949-462-3910
Practice Address - Street 1:24902 MOULTON PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92637-6410
Practice Address - Country:US
Practice Address - Phone:949-462-0560
Practice Address - Fax:949-462-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG38246208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1437126588OtherIND. NPI # BUCHANON
CA1437156627OtherIND. NPI # HELM
CA1922089234OtherIND. NPI # JAMES
CADE3952OtherMEDICARE RAILROAD GROUP #
CAA47410Medicare UPIN
CA1437126588OtherIND. NPI # BUCHANON
CA1437156627OtherIND. NPI # HELM
CA1922089234OtherIND. NPI # JAMES
CAQ54190Medicare UPIN