Provider Demographics
NPI:1740957190
Name:SIMS, VERLENE
Entity type:Individual
Prefix:
First Name:VERLENE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W VICTORIA ST STE F&G
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-5807
Mailing Address - Country:US
Mailing Address - Phone:103-669-9510
Mailing Address - Fax:310-669-9501
Practice Address - Street 1:901 W. VICTORIA ST
Practice Address - Street 2:F & G
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-9022
Practice Address - Country:US
Practice Address - Phone:626-639-7021
Practice Address - Fax:626-639-7021
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner