Healthcare Provider Details
I. General information
NPI: 1710039607
Provider Name (Legal Business Name): HELAINE BARBARA PLEET MD MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 ALFRED NOBEL DR SUITE 255A
HERCULES CA
94547
US
IV. Provider business mailing address
500 ALFRED NOBEL DR SUITE 255A
HERCULES CA
94547
US
V. Phone/Fax
- Phone: 510-964-9647
- Fax: 510-964-9656
- Phone: 510-964-9647
- Fax: 510-964-9656
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 6037228 |
| License Number State | CA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: