Koolaee, Roodabeh Michelle
Koolaee, Roodabeh Michelle is an individual health care provider with primary practice located at 12462 Putnam St Ste 402 , Whittier CA 90602-1049. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Koolaee, Roodabeh Michelle can be contacted via phone (562) 789-5461.Contact Information
Primary practice address
12462 Putnam St Ste 402
Whittier CA 90602-1049
Phone: (562) 789-5461
Fax: (562) 789-4468
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS015491 | Pennsylvania |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 20A12722 | California |
Profile Details
NPI number | 1316250525 |
---|---|
LBN Legal business name | Koolaee, Roodabeh Michelle |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2010 |
Last updated | Apr 1st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316250525 | NPPES |
California | Other | 1902846306 | GROUP NPI |
California | Other | W18762 | GROUP NPI |
California | Other | GR0100430 | GROUP NPI |
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