Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QG0300X | Family Doctor - Geriatric Medicine | A78270 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A78270 | CA |
NPI | 1417984279 |
---|---|
Provider Name | Dr. James John Helmer JR. |
First Address | Ventura, CA 93003-1349 |
Second Address | Ventura, CA 93003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 21/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123271 | (02) | CA |