Klean Start

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2518979 Issued in CA

Legal business name

KLEAN START

Practice address

12501 S Wilmington Ave
Compton, CA 90222-1220

Phone

(310) 751-0821

NPI assigned

Feb 3, 2011

Last updated

Sep 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rudolph Washington, MPANPI 1952607236

Title

Director

Phone

(310) 751-0821

Specialties & licenses 1

Addresses

Tax ID family

Klean Start2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Klean Start, Inc

  • School Counselor
  • Compton, CA
  • NPI 1265708689
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudolph Washington

  • Counselor
  • Compton, CA
  • NPI 1952607236
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1225334501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 W LUTHER LN",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051886",
            "telephone_number": "310-337-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 S WILMINGTON AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902221220",
            "telephone_number": "310-751-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN START",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-751-0821",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "2518979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kim, DMD
• Tae Su Kim
• Young Jo Kim, DDS
• Bridgette King-Patterson
• Klass Organization
• Klean Start, Inc
• Jasmine M Kono-Song
• Korouri Sage Bina Professional Dental Inc (PHD Dental of Compton)
• Michele Kramer
• Maita Siti Kuvhenguhwa, M.D.

• Community/Behavioral Health Agency in Compton, CA
• Providers in Compton, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.