Provider Demographics
NPI:1902567696
Name:WORLD BACK TO WORK, INC
Entity Type:Organization
Organization Name:WORLD BACK TO WORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-999-6860
Mailing Address - Street 1:311 SUNDANCE CIR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-3218
Mailing Address - Country:US
Mailing Address - Phone:310-897-2667
Mailing Address - Fax:
Practice Address - Street 1:2235 SEPULVEDA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-5332
Practice Address - Country:US
Practice Address - Phone:424-600-9303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-04
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health