Provider Demographics
NPI:1598100927
Name:ALBERT BABANIAN, INC.
Entity Type:Organization
Organization Name:ALBERT BABANIAN, INC.
Other - Org Name:ACTIVE MOVING BODY PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE / BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-236-4833
Mailing Address - Street 1:3600 N VERDUGO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1219
Mailing Address - Country:US
Mailing Address - Phone:818-236-4833
Mailing Address - Fax:818-236-4835
Practice Address - Street 1:3600 N VERDUGO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1219
Practice Address - Country:US
Practice Address - Phone:818-236-4833
Practice Address - Fax:818-236-4835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty