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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES BENJAMIN BACON

Active Sole Proprietor

JAMES BENJAMIN BACON is a Comprehensive Outpatient Rehabilitation Facility healthcare provider located in TARZANA, California. NPI 1811496672 is currently active in the NPPES registry. Verify at CMS.

Comprehensive Outpatient Rehabilitation Facility · TARZANA, CA

Registration Details

NPI Number
1811496672
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2018 (8.3304154726149 yrs)
Last Updated
Feb 7, 2018
Sole Proprietor
Yes

Practice Information

Address
18646 OXNARD ST
TARZANA, CA, 913561411
Browse CA providers · Browse ZIP 91356
Phone
8189961051
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.