Healthcare Provider Details

I. General information

NPI: 1639081953
Provider Name (Legal Business Name): QUAD THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 N MOSS ST STE 102
BURBANK CA
91502-1727
US

IV. Provider business mailing address

455 N MOSS ST STE 102
BURBANK CA
91502-1727
US

V. Phone/Fax

Practice location:
  • Phone: 855-313-3201
  • Fax:
Mailing address:
  • Phone: 855-313-3201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPAN STEVE MKRTCHYAN
Title or Position: CEO
Credential: DPT
Phone: 323-337-7733