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Individual

DR. STANDIFORD HELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 880-7812
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G38246
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00382460
BLUE SHIELD
CA
01
050015007
MEDICARE RAILROAD IND. #
CA
01
1982635322
GROUP NPI #
CA
01
DE3952
MEDICARE RAILROAD GRP #
CA
01
W15225
MEDICARE PTAN #
CA
Enumeration date
07/01/2005
Last updated
01/17/2023
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