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Organization
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC
Active
Organization
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC
Active
Other names
Kindred Hospital - La Mirada
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
14900 IMPERIAL HWY, LA MIRADA, CA 90638
(562) 944-1900
(562) 906-3455
Mailing address
14900 IMPERIAL HWY, LA MIRADA, CA 90638-2172
(562) 944-1900
(562) 906-3455
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
930000084
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP32028F
—
CA
01
—
ZZZB1919Z
BLUE CROSS
CA
Enumeration date
10/25/2006
Last updated
03/11/2024
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