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Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M BARBOUR MD (CEO/PRESIDENT)
(310) 631-8004
Entity
Organization
Contact information
Practice address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4283
(310) 631-8004
(310) 631-7830
Mailing address
2610 INDUSTRY WAY, SUITE A, LYNWOOD, CA 90262-4283
(310) 631-8004
(310) 631-7830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
07/25/2023
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