Provider Demographics
NPI:1629151469
Name:MONARCH REHAB, INC.
Entity Type:Organization
Organization Name:MONARCH REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:FRIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:818-920-9474
Mailing Address - Street 1:2222 FOOTHILL BL
Mailing Address - Street 2:E553
Mailing Address - City:LA CANADA
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1456
Mailing Address - Country:US
Mailing Address - Phone:818-920-9474
Mailing Address - Fax:818-920-9474
Practice Address - Street 1:14427 CHASE ST
Practice Address - Street 2:SUITE 206
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-3020
Practice Address - Country:US
Practice Address - Phone:818-920-9474
Practice Address - Fax:818-920-9473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty