Provider Demographics
NPI:1528169869
Name:HELO, VICTOR (DC)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:HELO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55901
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-0901
Mailing Address - Country:US
Mailing Address - Phone:818-487-9100
Mailing Address - Fax:818-487-9111
Practice Address - Street 1:12103 VENTURA PL
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2605
Practice Address - Country:US
Practice Address - Phone:818-487-9100
Practice Address - Fax:818-487-9111
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0277710OtherBLUE SHIELD TEMPLE CITY
CADC0277711OtherBLUE SHIELD STUDIO CITY
CADC27771Medicare ID - Type Unspecified
CADC0277710OtherBLUE SHIELD TEMPLE CITY