# SUPPLEMENTAL HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689972499
- **Authorized official:** MRS. LAURA MARIE MCBURNETT PTA (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (206) 499-0400

## Contact information

- **Practice address:** ONE CIVIC PLAZA DRIVE, CARSON, CA 90745
- **Practice address phone:** (866) 414-0448
- **Mailing address:** 450 AUTUMN SAGE COURT, RIVERSIDE, CA 92506-6291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | AT 8682 | CA | Yes |

## Other

- **Enumeration date:** 03/02/2011
- **Last updated:** 03/02/2011