Healthcare Provider Details

I. General information

NPI: 1598791972
Provider Name (Legal Business Name): A&G HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 WILSHIRE BLVD
LOS ANGELES CA
90017-2205
US

IV. Provider business mailing address

24 HAMMOND STE C
IRVINE CA
92618
US

V. Phone/Fax

Practice location:
  • Phone: 213-250-2250
  • Fax:
Mailing address:
  • Phone: 949-770-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO A. MARCIANO
Title or Position: PRESIDENT
Credential:
Phone: 949-770-6022