Provider Demographics
NPI:1992045223
Name:HELMI, MOJGAN (DC)
Entity Type:Individual
Prefix:
First Name:MOJGAN
Middle Name:
Last Name:HELMI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:MOJGAN
Other - Middle Name:
Other - Last Name:MOAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1644
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-0164
Mailing Address - Country:US
Mailing Address - Phone:510-220-6944
Mailing Address - Fax:
Practice Address - Street 1:5115 MOWRY AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1055
Practice Address - Country:US
Practice Address - Phone:510-220-6944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-23
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20995111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor