Healthcare Provider Details

I. General information

NPI: 1629151469
Provider Name (Legal Business Name): MONARCH REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14427 CHASE ST SUITE 206
PANORAMA CITY CA
91402-3020
US

IV. Provider business mailing address

2222 FOOTHILL BL E553
LA CANADA CA
91011-1456
US

V. Phone/Fax

Practice location:
  • Phone: 818-920-9474
  • Fax: 818-920-9473
Mailing address:
  • Phone: 818-920-9474
  • Fax: 818-920-9474

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: MISS GLORIA MARIA FRIAS
Title or Position: CEO
Credential: MPT
Phone: 818-920-9474