| Klean Start, Inc | |
|
2606 N Central Ave Compton CA 90222-1640 | |
| (310) 751-0821 | |
| Not Available |
| Full Name | Klean Start, Inc |
|---|---|
| Speciality | Counselor - School |
| Location | 2606 N Central Ave, Compton, California |
| Authorized Official Name and Position | Rudolph Washington (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3107510821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klean Start, Inc 3545 W Luther Ln Inglewood CA 90305-1886 Ph: (310) 337-1292 | Klean Start, Inc 2606 N Central Ave Compton CA 90222-1640 Ph: (310) 751-0821 |
| NPI Number | 1265708689 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265708689 | NPI | - | NPPES |
| 197483 | Other | CA | DRUG MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Primary |
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