Individual provider Active NPI

Helen C Koo, M.D.

  • Pediatrics Physician
  • Montebello, CA
National Provider Identifier
1477596864
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00A267560 Issued in CA
Practice address
265 E Beverly Blvd
2ND Floor
Montebello, CA 90640-3776
Phone
(323) 721-4922
Fax
(323) 721-3484
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00A267560 CA Primary

Addresses

Primary practice location

265 E Beverly Blvd
2ND Floor
Montebello, CA 90640-3776

Mailing address

265 E Beverly Blvd
2ND Floor
Montebello, CA 90640-3776
Phone (323) 721-4922

Other identifiers 2

IdentifierTypeStateIssuer
EIN 953772927OtherFEDERAL EMPLOYER ID NO.
00A267560MedicaidCA

Other names 1

  • Dr. Helen S Koo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A267560CAMDPediatrics Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1477596864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E BEVERLY BLVD",
            "address_2": "2ND FLOOR",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403776",
            "telephone_number": "323-721-4922",
            "fax_number": "323-721-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E BEVERLY BLVD",
            "address_2": "2ND FLOOR",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403776",
            "telephone_number": "323-721-4922",
            "fax_number": "323-721-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO",
        "first_name": "HELEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "00A267560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYER ID NO.",
            "identifier": "EIN 953772927",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A267560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "KOO",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.