MEDICARE: RAINBOW HILL ENTERPRISE L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1225737828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINBOW HILL ENTERPRISE L.L.C.

Provider Business Mailing Address
First Line	:	11600 WASHINGTON PL STE 116A
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5000
Country	:	US
Telephone Number	:	310-560-3848
Fax Number	:

Provider Business Practice Location Address
First Line	:	6380 WILSHIRE BLVD STE 850
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5014
Country	:	US
Telephone Number	:	310-560-3848
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JOEY BACHRACH
Credential	:
Telephone Number	:	310-486-4143

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	01/30/2025

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Directions to “RAINBOW HILL ENTERPRISE L.L.C. ” Practice Location

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