Healthcare Provider Details

I. General information

NPI: 1235459876
Provider Name (Legal Business Name): SYNERGY - A REHAB COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2010
Last Update Date: 06/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6828 HAYWOOD ST
TUJUNGA CA
91042-2850
US

IV. Provider business mailing address

6828 HAYWOOD ST
TUJUNGA CA
91042-2850
US

V. Phone/Fax

Practice location:
  • Phone: 818-792-9949
  • Fax:
Mailing address:
  • Phone: 818-792-9949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNA - NEW APPLICANT
License Number StateCA

VIII. Authorized Official

Name: MR. ALEJANDRO SAUL DURAN
Title or Position: PRESIDENT AND CEO
Credential: J.D.
Phone: 818-792-9949