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NPI Code Detail

MEDICARE: RED CULBERTSON

MEDICARE: RED CULBERTSON
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1497581037
Entity Type Code : Individual
Provider Name (Legal Business Name) : RED CULBERTSON
Provider Business Mailing Address
First Line : 3750 S GRAND AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-4331
Country : US
Telephone Number : 213-610-9785
Fax Number :
Provider Business Practice Location Address
First Line : 3316 S MAIN ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-4126
Country : US
Telephone Number : 213-610-9785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 09/10/2024

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Directions to “ RED CULBERTSON ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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