James Benjamin Bacon
James Benjamin Bacon is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Tarzana, California. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
18646 Oxnard StTarzana, CA 91356-1411
Phone: (818) 996-1051
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Specialties & licences
| Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) | Taxonomy 261QR0401X |
|---|
Record details
| NPI number | 1811496672 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2018 |
| Last updated in NPPES | February 7, 2018 |
| Mailing address | 10982 Topeka Dr, Northridge, CA 91326-2322 |
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