NPI 1326177379
Southern California Health & Rehabilitation Program
Practice location
- Address
- 2620 Industry Way Suite C, Lynwood, CA 90262-4024
- Phone
- (310) 627-4566
- Fax
- (310) 627-4029
- Mailing address
- 2610 Industry Way Suite a, Lynwood, CA 90262-4028
Authorised official
- Name
- Jack Barbour
- Title
- Ceo/President
- Phone
- (310) 631-8004
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1326177379
- Entity type
- Organization
- NPI issued
- 5 Mar 2007
- Record last updated
- 29 Jul 2019
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.