MEDICARE: HALEH ROOHIPOUR MD .INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1932225083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALEH ROOHIPOUR MD .INC

Provider Business Mailing Address
First Line	:	462 N LINDEN DR STE 249
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-2203
Country	:	US
Telephone Number	:	310-859-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	462 N LINDEN DR STE 249
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-2203
Country	:	US
Telephone Number	:	310-859-9500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HALEH ROOHIPOUR
Credential	:	MD
Telephone Number	:	310-384-7295

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	12/12/2019

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