# SOCAL SCOLIOSIS CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265124176
- **Authorized official:** RAY DIAZ CO (CERTIFIED ORTHOTIST)
- **Authorized official phone:** (818) 428-5218

## Contact information

- **Practice address:** 16430 VENTURA BLVD STE 108, ENCINO, CA 91436-2135
- **Practice address phone:** (818) 428-5218
- **Mailing address:** 9557 HARVEST VISTA DR, RANCHO CUCAMONGA, CA 91730-5732
- **Mailing address phone:** (650) 714-3877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023