# TOTAL REHABILITATION MEDICINE INC

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

## Provider details

- **NPI number:** 1679730923
- **Authorized official:** DR. ALIASGHAR MATIN MD (DIRECTOR)
- **Authorized official phone:** (818) 547-9870

## Contact information

- **Practice address:** 5635 CAHUENGA BLVD, NORTH HOLLYWOOD, CA 91601-2104
- **Practice address phone:** (818) 308-7450
- **Practice address fax:** (818) 308-7795
- **Mailing address:** 1407 HILLSIDE DR, GLENDALE, CA 91208-2416
- **Mailing address phone:** (818) 547-9870
- **Mailing address fax:** (818) 547-9870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A97751 | CA | Yes |
| 225100000X | Physical Therapist | PT 12456 | CA | — |
| 291U00000X | Clinical Medical Laboratory | MTA44130 | CA | — |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 11/06/2014