Healthcare Provider Details

I. General information

NPI: 1922539683
Provider Name (Legal Business Name): HELEN XIN PU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 4TH ST
SAN FRANCISCO CA
94143-2351
US

IV. Provider business mailing address

770 WELCH RD STE 435
PALO ALTO CA
94304-1511
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-4079
  • Fax:
Mailing address:
  • Phone: 650-497-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA157010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: