| Klean Start | |
|
12501 S Wilmington Ave Compton CA 90222-1220 | |
| (310) 751-0821 | |
| Not Available |
| Full Name | Klean Start |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12501 S Wilmington Ave, Compton, California |
| Authorized Official Name and Position | Rudolph Washington (DIRECTOR) |
| Authorized Official Contact | 3107510821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klean Start 3545 W Luther Ln Inglewood CA 90305-1886 Ph: (310) 337-1292 | Klean Start 12501 S Wilmington Ave Compton CA 90222-1220 Ph: (310) 751-0821 |
| NPI Number | 1225334501 |
|---|---|
| Provider Enumeration Date | 02/03/2011 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225334501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2518979 (California) | Primary |
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