Healthcare Provider Details
I. General information
NPI: 1487571808
Provider Name (Legal Business Name): R&R WELLNESS INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14523 RYAN ST
SYLMAR CA
91342
US
IV. Provider business mailing address
14523 RYAN ST
SYLMAR CA
91342
US
V. Phone/Fax
- Phone: 999-999-9999
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
ABRAHAMYAN
Title or Position: CEO
Credential:
Phone: 445-500-0005