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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