Healthcare Provider Details

I. General information

NPI: 1538088992
Provider Name (Legal Business Name): RAINBOW SERVICES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

453 W 7TH ST
SAN PEDRO CA
90731-3207
US

IV. Provider business mailing address

562 W 8TH ST
SAN PEDRO CA
90731-3120
US

V. Phone/Fax

Practice location:
  • Phone: 310-430-9125
  • Fax:
Mailing address:
  • Phone: 310-548-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAURA LULL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 310-548-5450