Provider Demographics
NPI:1568677599
Name:KEELAN, HELEN ARIGA
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ARIGA
Last Name:KEELAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5941 STONEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3016
Mailing Address - Country:US
Mailing Address - Phone:310-838-1982
Mailing Address - Fax:
Practice Address - Street 1:11321 NATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-3726
Practice Address - Country:US
Practice Address - Phone:310-479-5729
Practice Address - Fax:310-479-0189
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH36416183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist