person
James Benjamin Bacon
Comprehensive Outpatient Rehabilitation Facility (CORF) in Tarzana, California
NPI 1811496672

James Benjamin Bacon is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Northridge, CA and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). James Benjamin Bacon practices in Tarzana, CA. The NPI Number for James Benjamin Bacon is 1811496672 and holds a License No. (California).

The current practice location address for James Benjamin Bacon is 18646 Oxnard St, Tarzana, CA and can be reached out via phone at 818-996-1051.

Location: 18646 Oxnard St, Tarzana, CA, 91326-2322
person
Provider Profile Details
NPI Number
1811496672
Provider Name
James Benjamin Bacon
Credential
Provider Entity Type
Individual
Gender
Male
Address
18646 Oxnard St, Tarzana, CA, 91326-2322
Phone Number
818-996-1051
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18646 Oxnard St
City
State
Zip
91356-1411
Phone Number
818-996-1051
Fax Number
person
Provider Business Mailing Address Details
Address
18646 Oxnard St
City
State
Zip
91356-1411
Phone Number
818-996-1051
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
()
Definition
Definition to come...
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