Organization
COMPASSION CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ALEXANDER LESTER JR. (VICE PRESIDENT)
(310) 230-5574
Entity
Organization
Contact information
Practice address
900 W. GRENLEAF AVE., COMPTON, CA 90220
(310) 230-5574
(323) 373-9786
Mailing address
2614 CRENSHAW BLVD, LOS ANGELES, CA 90016-3057
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
197458
CA
261QR0400X
Rehabilitation Clinic/Center
7458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7458
MEDI-CAL
CA
Enumeration date
01/09/2013
Last updated
01/09/2013
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