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General NPI Number Information
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NPI Number | 1518193267
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Entity Type | Organization
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Legal Business Name | HELEN ROSTAMLOO MD INC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 800 S CENTRAL AVE SUITE 210
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City | GLENDALE
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State | CA
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Zip | 91204-4370
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Country | US
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Telephone | 818-244-3520
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Fax | 818-244-3533
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Provider Business Mailing Address
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Address Line | 800 S CENTRAL AVE SUITE 210
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City | GLENDALE
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State | CA
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Zip | 91204-4370
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Country | US
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Telephone | 818-244-3520
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Fax | 818-244-3533
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Authorized Official
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Title or Position | DIRECTOR
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Name | HELEN ROSTAMLOO
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Credential | M.D.
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Telephone | 818-244-3520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A99811
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License Number State | CA
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