MEDICARE: COMPATIOR, INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1609235902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPATIOR, INC.

Provider Business Mailing Address
First Line	:	4363 TWEEDY BLVD
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-6236
Country	:	US
Telephone Number	:	323-378-2009
Fax Number	:

Provider Business Practice Location Address
First Line	:	4363 TWEEDY BLVD
Second Line	:
City	:	SOUTH GATE
State	:	CA
Zip	:	90280-6236
Country	:	US
Telephone Number	:	323-378-2009
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	PAULA TORRES
Credential	:	CATC
Telephone Number	:	323-378-2009

Provider Enumeration Date	:	02/15/2016
Last Update Date	:	12/26/2018

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Directions to “COMPATIOR, INC. ” Practice Location

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