Fred Jefferson 142

LBN: Fred Jefferson
Fred Jefferson 142 is an health care organization with primary practice located at 1448 E 142Nd St , Compton CA 90222-3702. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Fred Jefferson can be contacted via phone (310) 763-1660, or through Sewell, Darryl via phone (310) 929-0738.

Contact Information

Primary practice address
1448 E 142Nd St Compton CA 90222-3702
Phone: (310) 763-1660
Fax: (310) 763-0357
Website:
Map and Directions
Authorized official contact:
Name: Sewell, Darryl
Phone: (310) 929-0738

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1023551900
LBN Legal business name Fred Jefferson
DBA Doing business as Fred Jefferson 142
Authorized official Sewell, Darryl
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2016
Last updated Jan 27th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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