MEDICARE: HELEN PATZANAKIDIS M.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	207R00000X	Internal Medicine Physician	A83624	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A83624	OTHER	CA	LIC #

General Provider Information

NPI Number	:	1639288368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN PATZANAKIDIS M.D.

Provider Business Mailing Address
First Line	:	2250 S MAIN ST STE 104
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-2538
Country	:	US
Telephone Number	:	951-737-1454
Fax Number	:	951-737-1822

Provider Business Practice Location Address
First Line	:	2250 S MAIN ST STE 104
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-2538
Country	:	US
Telephone Number	:	951-737-1454
Fax Number	:	951-737-1822

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	06/01/2026

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Directions to “ HELEN PATZANAKIDIS M.D.” Practice Location

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