# SOUTHERN CALIFORNIA INTERNAL MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** scim
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255792800
- **Authorized official:** DR. OSVALDO A LOPEZ MD (CEO AND PRESIDENT)
- **Authorized official phone:** (951) 219-9543

## Contact information

- **Practice address:** 31805 TEMECULA PARKWAY SUITE 165, TEMECULA, CA 92592
- **Practice address phone:** (951) 395-0681
- **Practice address fax:** (951) 346-4110
- **Mailing address:** 31805 TEMECULA PARKWAY SUITE 165, TEMECULA, CA 92592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A61258 | CA | Yes |

## Other

- **Enumeration date:** 03/10/2016
- **Last updated:** 03/06/2017