1558371567 NPI number — DR. CHRISTINE M HELBLING D.O.

Table of content: DR. CHRISTINE M HELBLING D.O. (NPI 1558371567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558371567 NPI number — DR. CHRISTINE M HELBLING D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HELBLING
Provider First Name:
CHRISTINE
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALLISON
Provider Other First Name:
M.CHRISTINE
Provider Other Middle Name:
CHRISTINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.O.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1558371567
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
08/22/2006
NPI Reactivation Date:
09/15/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7007
Provider Second Line Business Mailing Address:
HIGH DESERT MEDICAL GROUP
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93539-7007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-945-5984
Provider Business Mailing Address Fax Number:
661-952-3667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
43839 N 15TH ST WEST
Provider Second Line Business Practice Location Address:
HIGH DESERT MEDICAL GROUP
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-945-5984
Provider Business Practice Location Address Fax Number:
661-952-3667
Provider Enumeration Date:
08/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  20A7685 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00AX76850 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com