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Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Other names
SCHARP-COMPTON
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BARBOUR M.D. (CEO/PRESIDENT)
(310) 631-8004
Entity
Organization
Contact information
Practice address
2620 INDUSTRY WAY, SUITE C, LYNWOOD, CA 90262-4024
(310) 627-4566
(310) 627-4029
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
—
7303
PROVIDER NUMBER
CA
Enumeration date
03/05/2007
Last updated
07/29/2019
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