Healthcare Provider Details

I. General information

NPI: 1093935447
Provider Name (Legal Business Name): HELEN MIRIAM ADELBERG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16821 OAK VIEW DR
ENCINO CA
91436-3239
US

IV. Provider business mailing address

16821 OAK VIEW DR
ENCINO CA
91436-3239
US

V. Phone/Fax

Practice location:
  • Phone: 818-784-1141
  • Fax: 818-986-9587
Mailing address:
  • Phone: 818-784-1141
  • Fax: 818-986-9587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG11002
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: