Healthcare Provider Details
I. General information
NPI: 1770400350
Provider Name (Legal Business Name): ALL IN ONE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5620 WILBUR AVE STE 301
TARZANA CA
91356-1351
US
IV. Provider business mailing address
5620 WILBUR AVE STE 301
TARZANA CA
91356-1351
US
V. Phone/Fax
- Phone: 818-572-1899
- Fax: 747-265-6333
- Phone: 818-572-1899
- Fax: 747-265-6333
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DORA
MORALES
Title or Position: OWNER
Credential: OWNER
Phone: 626-905-0145