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Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Other names
SCHARP OASIS HOUSE, SCHARP Adult Services
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BARBOUR M.D. (CEO / PRESIDENT)
(310) 631-8004
Entity
Organization
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 593-5300
(323) 593-5302
Mailing address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4028
(310) 631-8004
(310) 631-7830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7409
PROVIDER NUMBER
CA
Enumeration date
03/05/2007
Last updated
02/18/2025
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