Southern California Health & Rehabilitation Program in Lynwood - Community/behavioral Health

Southern California Health & Rehabilitation Program - NPI 1326177379

Southern California Health & Rehabilitation Program is a Community/behavioral Health in Lynwood, 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 1326177379. The last update date is 2019-07-29.

Southern California Health & Rehabilitation Program's current location address is 2610 Industry Way, Lynwood, California. You can contact this provider via phone number 3106318004 and fax number 3106317830. The mailing address for Southern California Health & Rehabilitation Program is 2610 Industry Way, Lynwood, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern California Health & Rehabilitation Program
Address 2610 Industry Way, Lynwood, California
Phone Number 3106318004
Fax Number 3106317830
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1326177379
Provider Enumeration Date 2007-03-05
Last Updated Date 2019-07-29

Provider Mailing Address Detail

Address 2610 Industry Way
City Lynwood
State California (CA)
Post Code 902624028
Phone Number 3106318004
Fax Number 3106317830

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
7303 CA PROVIDER NUMBER

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FAQs about Southern California Health & Rehabilitation Program

What is the Southern California Health & Rehabilitation Program's unique identification number?

The Southern California Health & Rehabilitation Program has been assigned the NPI (National Provider Identifier) Number 1326177379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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: 2610 Industry Way, Lynwood, CA, 902624028.

What is Southern California Health & Rehabilitation Program's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Southern California Health & Rehabilitation Program is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.

When did Southern California Health & Rehabilitation Program receive its 1326177379 assignment?

The Southern California Health & Rehabilitation Program was assigned its 1326177379 on 2007-03-05, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Southern California Health & Rehabilitation Program last refreshed?

The information related to the Southern California Health & Rehabilitation Program, including its address, specialty, and other relevant details, was last updated on 2019-07-29.

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