Southern California Health & Rehabilitation Program in Los Angeles - Community/behavioral Health

Southern California Health & Rehabilitation Program - NPI 1083743082

Southern California Health & Rehabilitation Program is a Community/behavioral Health in Los Angeles, California. Southern California Health & Rehabilitation Program practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Southern California Health & Rehabilitation Program is 1083743082. The last update date is 2019-06-17.

Southern California Health & Rehabilitation Program's current location address is 3850 Crenshaw Blvd, Los Angeles, California. You can contact this provider via phone number 3235935300 and fax number 3235935302. The mailing address for Southern California Health & Rehabilitation Program is 3850 Crenshaw Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern California Health & Rehabilitation Program
Address 3850 Crenshaw Blvd, Los Angeles, California
Phone Number 3235935300
Fax Number 3235935302
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO / PRES
Authorized Official Name Barbour Jack
Credentials M.D.
Telephone Number 3106318004

NPI Number Detail

NPI Number 1083743082
Provider Enumeration Date 2007-03-05
Last Updated Date 2019-06-17

Provider Mailing Address Detail

Address 3850 Crenshaw Blvd
City Los Angeles
State California (CA)
Post Code 900081821
Phone Number 3235935300
Fax Number 3235935302

Provider's Primary Taxonomy Detail

Speciality Community/behavioral Health
Taxonomy 251S00000X
Definition:
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7409 CA PROVIDER NUMBER

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FAQs about Southern California Health & Rehabilitation Program

What is the unique provider identifier assigned to Southern California Health & Rehabilitation Program?

The Southern California Health & Rehabilitation Program has been issued the NPI (National Provider Identifier) 1083743082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Southern California Health & Rehabilitation Program is physically located?

The Southern California Health & Rehabilitation Program is physically situated at the following address: 3850 Crenshaw Blvd, Los Angeles, CA, 900081821.

What is Southern California Health & Rehabilitation Program's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Southern California Health & Rehabilitation Program is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.

On what date did the Southern California Health & Rehabilitation Program receive its 1083743082 assignment from the Centers for Medicare & Medicaid Services?

The Southern California Health & Rehabilitation Program was assigned its 1083743082 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date were the Southern California Health & Rehabilitation Program's details last updated?

The information pertaining to the Southern California Health & Rehabilitation Program, including its address, specialty, and other details, was most recently updated on 2019-06-17.

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