Provider Demographics
NPI:1841496155
Name:AARN COMPANY
Entity type:Organization
Organization Name:AARN COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:R
Authorized Official - Last Name:DACLISON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:626-236-2302
Mailing Address - Street 1:2443 PAULINE ST
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-2613
Mailing Address - Country:US
Mailing Address - Phone:626-236-2302
Mailing Address - Fax:
Practice Address - Street 1:2443 PAULINE ST
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-2613
Practice Address - Country:US
Practice Address - Phone:626-236-2302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-23
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty