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Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization
SUPPLEMENTAL HEALTH CARE
Active
Parent organization
YES
Other names
SHC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MR. JACOB SLAFFEY (PTA)
(310) 902-0768
Entity
Organization
Contact information
Practice address
12819 SHORT AVE, LOS ANGELES, CA 90066-6420
(310) 902-0768
Mailing address
12819 SHORT AVE, LOS ANGELES, CA 90066-6420
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
1242
CA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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