Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC23485 | CA |
NPI | 1235315086 |
---|---|
Provider Name | Helena Rostami |
First Address | Tarzana, CA 91356-2917 |
Second Address | Tarzana, CA 91356-2917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 10/01/2008 |