Healthcare Provider Details

I. General information

NPI: 1659298479
Provider Name (Legal Business Name): A&J REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 MARIGOLD CIR
DIAMOND BAR CA
91765-3778
US

IV. Provider business mailing address

3110 MARIGOLD CIR
DIAMOND BAR CA
91765-3778
US

V. Phone/Fax

Practice location:
  • Phone: 213-925-2697
  • Fax:
Mailing address:
  • Phone: 213-925-2697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BYUNGKWAN AN
Title or Position: CHIEF FINANCIAL OFFICER
Credential: PHYSICAL THERAPIST
Phone: 213-925-2697