MEDICARE: VALLEY CORF, 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
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)		CA

General Provider Information

NPI Number	:	1790706695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY CORF, INC.

Provider Business Mailing Address
First Line	:	5620 WILBUR AVE
Second Line	:	SUITE 103
City	:	TARZANA
State	:	CA
Zip	:	91356-1351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5620 WILBUR AVE
Second Line	:	SUITE 103
City	:	TARZANA
State	:	CA
Zip	:	91356-1351
Country	:	US
Telephone Number	:	818-758-2673
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AZMINA KANJI
Credential	:
Telephone Number	:	818-758-2673

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	12/17/2025

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