| Scharp Child Outpatient Services | |
|
2594 Industry Way Lynwood CA 90262-4015 | |
| (310) 667-4070 | |
| (310) 667-4072 |
| Full Name | Scharp Child Outpatient Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2594 Industry Way, Lynwood, California |
| Authorized Official Name and Position | Jack M Barbour (CEO/PRESIDENT) |
| Authorized Official Contact | 3106318004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scharp Child Outpatient Services 2610 Industry Way Suite A Lynwood CA 90262-4028 Ph: (310) 631-8004 | Scharp Child Outpatient Services 2594 Industry Way Lynwood CA 90262-4015 Ph: (310) 667-4070 |
| NPI Number | 1689793739 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 05/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689793739 | NPI | - | NPPES |
| 7654 | Other | CA | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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