Provider Demographics
NPI:1275340424
Name:MONTE REHAB INC.
Entity type:Organization
Organization Name:MONTE REHAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GOR
Authorized Official - Middle Name:
Authorized Official - Last Name:HABESHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-949-2030
Mailing Address - Street 1:1741 LOMA RD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3234
Mailing Address - Country:US
Mailing Address - Phone:323-919-9999
Mailing Address - Fax:
Practice Address - Street 1:1741 LOMA RD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3234
Practice Address - Country:US
Practice Address - Phone:323-919-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder