Healthcare Provider Details

I. General information

NPI: 1477699940
Provider Name (Legal Business Name): ALL FOR HEALTH HEALTH FOR ALL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 E BROADWAY
GLENDALE CA
91205-1110
US

IV. Provider business mailing address

519 E BROADWAY
GLENDALE CA
91205-1110
US

V. Phone/Fax

Practice location:
  • Phone: 818-409-3020
  • Fax: 818-243-2713
Mailing address:
  • Phone: 818-409-3020
  • Fax: 818-243-2513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY47604
License Number StateCA

VIII. Authorized Official

Name: ADRINEH EBRAHIMIAN
Title or Position: CEO
Credential:
Phone: 818-409-3020