# MEDICAL DIAGNOSTICS AND REHABILITATION CENTER, INC.

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

## Provider details

- **NPI number:** 1831485994
- **Authorized official:** PEJMAN ELI SHIRAZY M.D. (PRESIDENT / OWNER)
- **Authorized official phone:** (818) 789-3964

## Contact information

- **Practice address:** 16952 VENTURA BLVD., SUITE 200-A, ENCINO, CA 91316-4198
- **Practice address phone:** (818) 789-3964
- **Practice address fax:** (818) 789-3967
- **Mailing address:** 16952 VENTURA BLVD., SUITE 200-A, ENCINO, CA 91316-4198
- **Mailing address phone:** (818) 789-3964
- **Mailing address fax:** (818) 789-3967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A76100 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2011
- **Last updated:** 06/27/2011