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Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Organization
SOUTHERN CALIFORNIA HEALTH & REHABILITATION PROGRAM
Active
Other names
SCHARP Bellflower
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BARBOUR MD (CEO / PRESIDENT)
(310) 631-8004
Entity
Organization
Contact information
Practice address
14371 CLARK AVE, BELLFLOWER, CA 90706-2901
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7824
—
CA
Enumeration date
01/18/2012
Last updated
07/25/2023
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