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Organization
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Active
Organization
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BUSHERI (CEO)
(818) 650-6700
Entity
Organization
Contact information
Practice address
14550 HAYNES ST, VAN NUYS, CA 91411-1613
(818) 650-6700
(818) 933-5038
Mailing address
14550 HAYNES ST FL 3, VAN NUYS, CA 91411-4116
(818) 650-6700
(818) 933-5038
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
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
Other
Enumeration date
01/07/2015
Last updated
11/02/2022
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