Healthcare Provider Details

I. General information

NPI: 1982149613
Provider Name (Legal Business Name): ALL FOR HEALTH HEALTH FOR ALL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2017
Last Update Date: 01/25/2021
Certification Date: 01/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 N NELLIS BLVD SUITE G
LAS VEGAS NV
89115-3669
US

IV. Provider business mailing address

519 E BROADWAY
GLENDALE CA
91205-1110
US

V. Phone/Fax

Practice location:
  • Phone: 702-342-8804
  • Fax: 702-342-8805
Mailing address:
  • Phone: 818-409-3020
  • Fax: 818-243-2713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNV

VIII. Authorized Official

Name: ADRINEH EBRAHIMIAN
Title or Position: CEO
Credential:
Phone: 818-409-3020