Klean Start, Inc

Primary specialty

School CounselorTaxonomy code 101YS0200X

Legal business name

KLEAN START, INC

Practice address

2606 N Central Ave
Compton, CA 90222-1640

Phone

(310) 751-0821

NPI assigned

Mar 29, 2012

Last updated

Mar 29, 2012By 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, MPA

Title

Executive Director

Phone

(310) 751-0821

Specialties & licenses 1

Addresses

Other identifiers 1

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

  • Community/Behavioral Health Agency
  • Compton, CA
  • NPI 1225334501
  NPD tax ID

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1265708689",
    "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": "2606 N CENTRAL AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902221640",
            "telephone_number": "310-751-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN START, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-751-0821",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL",
            "identifier": "197483",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• School Counselor in Compton, CA
• Providers in Compton, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.