Provider Demographics
NPI:1295450864
Name:ALL IN THERAPY AND REHAB, LLC
Entity type:Organization
Organization Name:ALL IN THERAPY AND REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOVICIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-372-2207
Mailing Address - Street 1:2005 W TOSCANINI DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-1417
Mailing Address - Country:US
Mailing Address - Phone:714-372-2207
Mailing Address - Fax:714-276-9721
Practice Address - Street 1:7755 CENTER AVE SUITE 1100
Practice Address - Street 2:HUNTINGTON BEACH
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647
Practice Address - Country:US
Practice Address - Phone:714-372-2207
Practice Address - Fax:714-276-9721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty