Active NPI
Helen C Koo, M.D.
- Pediatrics Physician
- Montebello, CA
National Provider Identifier
1477596864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 00A267560
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EIN 953772927 | Other | FEDERAL EMPLOYER ID NO. | |
| 00A267560 | Medicaid | CA |
Other names 1
- Dr. Helen S Koo
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00A267560 | CA | MD | Pediatrics 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.