OrganizationActiveAccepts Medicare
Southern California Health & Rehabilitation Program
NPI 1467775221 · Community/Behavioral Health Agency · Lynwood, CA
Enrolled with Medicare as Part B Supplier - Other · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1467775221
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jack Barbour, Ceo/President(310) 631-8004
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2610 Industry Way
Suite a
Lynwood, CA 90262-4283
Phone: (310) 631-8004
Fax: (310) 631-7830
Street-level locationGet directions
Mailing address
2610 Industry Way
Lynwood, CA 90262-4283
Registry dates
- Enumerated
- 2010-03-09
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.