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Organization

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Active
Find providers by NPI
Organization

SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIE ZARE (SR. PROGRAM MANAGER)
(818) 650-6700
Entity
Organization

Contact information

Practice address
12100 VALLEY BLVD STE 109A, EL MONTE, CA 91732-3161
(626) 575-7500
(626) 575-1956
Mailing address
PO BOX 436, VAN NUYS, CA 91408-0436
(818) 421-0809
(562) 699-7066

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL

Other

Enumeration date
05/18/2010
Last updated
06/13/2023
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