| Bowlay Rehabilitation Centers, Inc. | |
|
439 W Compton Blvd Compton CA 90220-3008 | |
| (310) 919-5978 | |
| Not Available |
| Full Name | Bowlay Rehabilitation Centers, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 439 W Compton Blvd, Compton, California |
| Authorized Official Name and Position | Cindy Khaki (DIR. CLINICAL SERVICES) |
| Authorized Official Contact | 3232432949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bowlay Rehabilitation Centers, Inc. 439 W Compton Blvd Compton CA 90220-3008 Ph: (310) 919-5978 | Bowlay Rehabilitation Centers, Inc. 439 W Compton Blvd Compton CA 90220-3008 Ph: (310) 919-5978 |
| NPI Number | 1720423205 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720423205 | NPI | - | NPPES |
| 197571 | Other | CA | CAL-OHMS NUMBER |
| 19DA | Other | CA | DMC PROVIDER NUMBER 19DA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190791-AP (California) | Primary |
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