Individual ProviderHelen DutkoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Ucla Medical Plz Ste 330, Los Angeles, CA 90095-5052(310) 267-7677PECOS EnrollmentBased on the most recent information from CMS, provider Helen Dutko is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1790216851Provider TypeIndividualFull NameDutko, HelenCredentialNPGenderFemaleSole ProprietorYesEnumeration Date3/21/2017Last Updated3/1/2022Contact InformationPractice LocationPractice Address200 Ucla Medical Plz Ste 330, Los Angeles, CA 90095-5052Phone(310) 267-7677FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95003016California