Individual
HELEN CHONG JEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 LAURSEN STREET, HEMET RADIOLOGY MEDICAL GROUP, INC., HEMET, CA 92543
(951) 765-5417
(951) 765-5418
Mailing address
22526 CANYON LAKE DR S, CANYON LAKE, CA 92587-7559
(951) 765-5417
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C38254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C382540
—
CA
01
—
300048953
RAILROAD
CA
01
—
300091183
RAILROAD
CA
01
—
CW634Y
MEDICARE PTAN - HVI
CA
01
—
CW634Z
MEDICARE PTAN
CA
Enumeration date
06/16/2006
Last updated
04/13/2010
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