Provider Demographics
NPI:1114797768
Name:MEDI-MOVE PHYSICIANS INC
Entity Type:Organization
Organization Name:MEDI-MOVE PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAHNAVARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-396-5073
Mailing Address - Street 1:1341 W GLENOAKS BLVD
Mailing Address - Street 2:UNIT 205
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201
Mailing Address - Country:US
Mailing Address - Phone:818-396-5073
Mailing Address - Fax:
Practice Address - Street 1:1341 W GLENOAKS BLVD
Practice Address - Street 2:UNIT 205
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201
Practice Address - Country:US
Practice Address - Phone:818-396-5073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty