1982635322 NPI number — STANDIFORD HELM II, M.D. INC.

Table of content: (NPI 1982635322)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982635322 NPI number — STANDIFORD HELM II, M.D. INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STANDIFORD HELM II, M.D. INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PACIFIC COAST PAIN MANAGEMENT CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982635322
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2549
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSION VIEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92690-0549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-462-0560
Provider Business Mailing Address Fax Number:
949-462-3910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24902 MOULTON PKWY
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
LAGUNA HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92637-6410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-462-0560
Provider Business Practice Location Address Fax Number:
949-462-3910
Provider Enumeration Date:
07/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HELM
Authorized Official First Name:
STANDIFORD
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
949-462-0560

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X , with the licence number:  G38246 , 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: 1437126588 . This is a "IND. NPI # BUCHANON" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1437156627 . This is a "IND. NPI # HELM" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1922089234 . This is a "IND. NPI # JAMES" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: DE3952 . This is a "MEDICARE RAILROAD GROUP #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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