Provider Demographics
NPI:1326523721
Name:DADIAN, ADIN
Entity Type:Individual
Prefix:
First Name:ADIN
Middle Name:
Last Name:DADIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2547
Mailing Address - Country:US
Mailing Address - Phone:818-240-7511
Mailing Address - Fax:818-240-7512
Practice Address - Street 1:1220 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2547
Practice Address - Country:US
Practice Address - Phone:818-240-7511
Practice Address - Fax:818-240-7512
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist