Provider Demographics
NPI:1821030347
Name:DYNAMIC REHAB
Entity Type:Organization
Organization Name:DYNAMIC REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:NARULA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:818-371-7988
Mailing Address - Street 1:401 N BRAND BLVD STE 735
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4449
Mailing Address - Country:US
Mailing Address - Phone:818-241-4420
Mailing Address - Fax:818-241-4401
Practice Address - Street 1:401 N BRAND BLVD STE 735
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4449
Practice Address - Country:US
Practice Address - Phone:818-241-4420
Practice Address - Fax:818-241-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility