Healthcare Provider Details

I. General information

NPI: 1558704635
Provider Name (Legal Business Name): HELEN ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2013
Last Update Date: 04/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5838 OVERHILL DR STE 3
LOS ANGELES CA
90043-2738
US

IV. Provider business mailing address

1238 WESTCHESTER PLACE
LOS ANGELES CA
90019
US

V. Phone/Fax

Practice location:
  • Phone: 323-295-0009
  • Fax:
Mailing address:
  • Phone: 323-775-4665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: