Healthcare Provider Details

I. General information

NPI: 1215795240
Provider Name (Legal Business Name): SOCAL RECUPERATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024
Certification Date: 03/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 ROSALIA RD
LOS ANGELES CA
90027-2706
US

IV. Provider business mailing address

15233 VENTURA BLVD STE 500
SHERMAN OAKS CA
91403-2231
US

V. Phone/Fax

Practice location:
  • Phone: 888-491-7201
  • Fax: 888-491-7202
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SIGRID SCHEIBLY
Title or Position: SECRETARY
Credential:
Phone: 888-491-7201