MEDICARE: DR. HELFON HANONO O. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6681-TPG	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619942034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELFON HANONO O. D.

Provider Business Mailing Address
First Line	:	894 PALM AVE
Second Line	:	STE. B
City	:	IMPERIAL BEACH
State	:	CA
Zip	:	91932-1573
Country	:	US
Telephone Number	:	619-424-9333
Fax Number	:

Provider Business Practice Location Address
First Line	:	894 PALM AVE
Second Line	:	STE. B
City	:	IMPERIAL BEACH
State	:	CA
Zip	:	91932-1573
Country	:	US
Telephone Number	:	619-424-9333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	07/30/2022

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