Provider Demographics
NPI:1518382308
Name:ALL-STAR REHABILITATION INC.
Entity Type:Organization
Organization Name:ALL-STAR REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:818-693-2557
Mailing Address - Street 1:18946 GRANADA CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1506
Mailing Address - Country:US
Mailing Address - Phone:818-693-2557
Mailing Address - Fax:818-477-0942
Practice Address - Street 1:631 E COLORADO ST
Practice Address - Street 2:UITE #C
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1797
Practice Address - Country:US
Practice Address - Phone:818-507-8181
Practice Address - Fax:818-507-9431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy