# LOS ANGELES COUNTY - GLENDALE TU

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326193996
- **Authorized official:** SHAVONDA WEBBER-CHRISTMAS (ACTING DIRECTOR, CMS)
- **Authorized official phone:** (626) 569-6001

## Contact information

- **Practice address:** 1700 E MOUNTAIN ST, GLENDALE, CA 91207-1246
- **Practice address phone:** (818) 409-8943
- **Mailing address:** 9320 TELSTAR AVE STE 226, EL MONTE, CA 91731-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020