Healthcare Provider Details

I. General information

NPI: 1124207196
Provider Name (Legal Business Name): RIMA ABELIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11067 PROVENCE LANE
TUJUNGA CA
91042
US

IV. Provider business mailing address

10987 LUDDINGTON STREET
SUN VALLEY CA
91352
US

V. Phone/Fax

Practice location:
  • Phone: 818-253-5989
  • Fax: 818-252-0821
Mailing address:
  • Phone: 818-253-5989
  • Fax: 818-252-0821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: