Provider Demographics
NPI:1285759514
Name:ROSTAMLOO, HELEN (MD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:ROSTAMLOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S CENTRAL AVE
Mailing Address - Street 2:SUITE#210
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-4370
Mailing Address - Country:US
Mailing Address - Phone:818-244-3520
Mailing Address - Fax:818-244-3533
Practice Address - Street 1:800 S CENTRAL AVE
Practice Address - Street 2:SUITE#210
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-4370
Practice Address - Country:US
Practice Address - Phone:818-244-3520
Practice Address - Fax:818-244-3533
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99811207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine