Basic Information
| Provider Information | |||||||||
| NPI: | 1407084502 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HELMING | ||||||||
| FirstName: | HEATHER | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10850 ARROW RTE | ||||||||
| Address2: | |||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917304833 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9096307927 | ||||||||
| FaxNumber: | 9096206719 | ||||||||
| Practice Location | |||||||||
| Address1: | 1450 E HOLT AVE | ||||||||
| Address2: | |||||||||
| City: | POMONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917675822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9096307927 | ||||||||
| FaxNumber: | 9096206719 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2009 | ||||||||
| LastUpdateDate: | 11/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 20A11800 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.