Provider Demographics
NPI:1104505635
Name:GIRMA, HELEN
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:GIRMA
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:GIRMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:HELEN GIRMA
Mailing Address - Street 1:4836 HOLLOW CORNER RD UNIT 308
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-8362
Mailing Address - Country:US
Mailing Address - Phone:310-902-4008
Mailing Address - Fax:
Practice Address - Street 1:4836 HOLLOW CORNER RD UNIT 308
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-8362
Practice Address - Country:US
Practice Address - Phone:310-902-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80678T2344600000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No344600000XTransportation ServicesTaxi