NPI 1275839037
Supplemental Health Care
Practice location
- Address
- 12819 Short Ave, Los Angeles, CA 90066-6420
- Phone
- (310) 902-0768
Authorised official
- Name
- Jacob Slaffey
- Title
- Pta
- Phone
- (310) 902-0768
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1275839037
- Entity type
- Organization
- NPI issued
- 26 Jan 2011
- Record last updated
- 26 Jan 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.