MEDICARE: HELENE ROSENZWEIG M.D.

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	174400000X	Specialist	G53396	CA

General Provider Information

NPI Number	:	1962509646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELENE ROSENZWEIG M.D.

Provider Business Mailing Address
First Line	:	625 21ST PL
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90402-3049
Country	:	US
Telephone Number	:	310-458-4598
Fax Number	:

Provider Business Practice Location Address
First Line	:	16260 VENTURA BLVD
Second Line	:	#530
City	:	ENCINO
State	:	CA
Zip	:	91436-2203
Country	:	US
Telephone Number	:	818-788-4022
Fax Number	:	818-788-3728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	07/08/2007

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Directions to “ HELENE ROSENZWEIG M.D.” Practice Location

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