Healthcare Provider Details

I. General information

NPI: 1124959325
Provider Name (Legal Business Name): BESTCARE OUTPATIENT PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11755 VICTORY BLVD STE 210
NORTH HOLLYWOOD CA
91606-3454
US

IV. Provider business mailing address

11755 VICTORY BLVD STE 210
NORTH HOLLYWOOD CA
91606-3454
US

V. Phone/Fax

Practice location:
  • Phone: 747-588-9590
  • Fax:
Mailing address:
  • Phone: 747-588-9590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTINE MAKARYAN
Title or Position: CEO/OWNER
Credential:
Phone: 747-265-6308