Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMRIE LYNN FREEMAN (PHYSICAL THERPIST ASSISTANT)
(310) 549-4500
Entity
Organization
Contact information
Practice address
1 CIVIC PLAZA DR STE 625, CARSON, CA 90745-7986
(310) 549-4500
Mailing address
9625 S 8TH AVE, INGLEWOOD, CA 90305-3242
(323) 756-2272
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
—
Enumeration date
03/12/2008
Last updated
05/21/2020
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