Healthcare Provider Details

I. General information

NPI: 1750491973
Provider Name (Legal Business Name): CUZNZ LTD BURBANK THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 W ALAMEDA AVE
BURBANK CA
91506-2802
US

IV. Provider business mailing address

920 W ALAMEDA AVE
BURBANK CA
91506-2802
US

V. Phone/Fax

Practice location:
  • Phone: 818-842-9277
  • Fax: 818-475-5065
Mailing address:
  • Phone: 818-842-9277
  • Fax: 818-475-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number960001410
License Number StateCA

VIII. Authorized Official

Name: MS. AZMINA KANJI
Title or Position: PRESIDENT
Credential:
Phone: 818-842-9277