Provider Demographics
NPI:1083037857
Name:AJU PAIN AND REHAB SPECIALISTS, INC
Entity Type:Organization
Organization Name:AJU PAIN AND REHAB SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHREIBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:213-999-7770
Mailing Address - Street 1:2560 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 205B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2972
Mailing Address - Country:US
Mailing Address - Phone:213-999-6680
Mailing Address - Fax:213-607-3214
Practice Address - Street 1:2560 W OLYMPIC BLVD
Practice Address - Street 2:SUITE 205B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2972
Practice Address - Country:US
Practice Address - Phone:213-999-6680
Practice Address - Fax:213-607-3214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty