Provider Demographics
NPI:1811099740
Name:CHANG, HELEN YUK YU (MD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:YUK YU
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15525 POMERADO RD
Mailing Address - Street 2:SUITE A-8
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2435
Mailing Address - Country:US
Mailing Address - Phone:858-485-9822
Mailing Address - Fax:858-485-8148
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:SUITE A-8
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2435
Practice Address - Country:US
Practice Address - Phone:858-485-9822
Practice Address - Fax:858-485-8148
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34578207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G345781Medicaid
CA00G345781Medicaid
CAA45985Medicare UPIN