Provider Demographics
NPI:1437287018
Name:NAM, HELEN H (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:NAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55637
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-0637
Mailing Address - Country:US
Mailing Address - Phone:818-785-8707
Mailing Address - Fax:818-785-1152
Practice Address - Street 1:15243 VANOWEN ST STE 212
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3644
Practice Address - Country:US
Practice Address - Phone:818-785-8707
Practice Address - Fax:818-785-1152
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61923174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist