Bacon, James Benjamin

Bacon, James Benjamin is an sole proprietor health care provider with primary practice located at 18646 Oxnard St , Tarzana CA 91356-1411. He recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as his primary health care specialty. Bacon, James Benjamin can be contacted via phone (818) 996-1051.

Contact Information

Primary practice address
18646 Oxnard St Tarzana CA 91356-1411
Phone: (818) 996-1051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Profile Details

NPI number 1811496672
LBN Legal business name Bacon, James Benjamin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2018
Last updated Feb 7th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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