Healthcare Provider Details

I. General information

NPI: 1922736701
Provider Name (Legal Business Name): ALI HEALTH COMPANION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE R
DOVER DE
19901-3618
US

IV. Provider business mailing address

12646 KILLION ST
VALLEY VILLAGE CA
91607-1535
US

V. Phone/Fax

Practice location:
  • Phone: 818-605-9102
  • Fax:
Mailing address:
  • Phone: 818-605-9102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOSHE ARIEL RAHIMI
Title or Position: CEO
Credential:
Phone: 818-605-9102