MEDICARE: ALL FOR HEALTH HEALTH FOR ALL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1841971009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL FOR HEALTH HEALTH FOR ALL INC

Provider Business Mailing Address
First Line	:	519 E BROADWAY
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1110
Country	:	US
Telephone Number	:	818-409-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 N RANCHO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-1008
Country	:	US
Telephone Number	:	702-384-1110
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	NINET ABGARIAN
Credential	:
Telephone Number	:	818-409-3020

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	07/28/2023

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