Healthcare Provider Details

I. General information

NPI: 1588547921
Provider Name (Legal Business Name): ARBY ISABELLE ABRAHAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 N LA BREA AVE STE B
WEST HOLLYWOOD CA
90038-1564
US

IV. Provider business mailing address

8355 LULLABY LN
PANORAMA CITY CA
91402-3710
US

V. Phone/Fax

Practice location:
  • Phone: 818-791-8797
  • Fax:
Mailing address:
  • Phone: 818-294-0022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number303428
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: