Provider Demographics
NPI:1619004124
Name:MOUNTAIN VIEW REHABILITATION CENTER INC.
Entity Type:Organization
Organization Name:MOUNTAIN VIEW REHABILITATION CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIHRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHABEDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-276-7146
Mailing Address - Street 1:13351D RIVERSIDE DR # 246
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2508
Mailing Address - Country:US
Mailing Address - Phone:915-276-7146
Mailing Address - Fax:818-907-9121
Practice Address - Street 1:136 S RESLER DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-4302
Practice Address - Country:US
Practice Address - Phone:915-276-7146
Practice Address - Fax:818-907-9121
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN VIEW REHABILITATION CENTER INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-28
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF006543111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0078KYOtherBSBCTEXAS GROUP
TXDD2885Medicare PIN
TX00824YMedicare PIN