Healthcare Provider Details

I. General information

NPI: 1528752144
Provider Name (Legal Business Name): HELEN NEWEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 E HACIENDA AVE STE C
CAMPBELL CA
95008-6625
US

IV. Provider business mailing address

221 E HACIENDA AVE STE C
CAMPBELL CA
95008-6625
US

V. Phone/Fax

Practice location:
  • Phone: 408-930-5009
  • Fax:
Mailing address:
  • Phone: 408-404-4700
  • Fax: 408-404-4700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA65786
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: