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NPI Code Detail

MEDICARE: ALL FOR HEALTH HEALTH FOR ALL INC

MEDICARE: ALL FOR HEALTH HEALTH FOR ALL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)
2261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1710318878
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL FOR HEALTH HEALTH FOR ALL INC
Provider Business Mailing Address
First Line : 519 E BROADWAY
Second Line :
City : GLENDALE
State : CA
Zip : 91205-1110
Country : US
Telephone Number : 818-409-3020
Fax Number : 818-243-2713
Provider Business Practice Location Address
First Line : 8134 FOOTHILL BLVD
Second Line :
City : SUNLAND
State : CA
Zip : 91040-2941
Country : US
Telephone Number : 818-962-0715
Fax Number : 818-962-0714
Authorized Official
Title or Position : CEO
Name : ADRINEH EBRAHIMIAN
Credential :
Telephone Number : 818-409-3020
Provider Enumeration Date : 11/27/2013
Last Update Date : 01/25/2021

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Directions to “ALL FOR HEALTH HEALTH FOR ALL INC ” Practice Location

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