# SANTA ELENA MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** santa elena medical care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265617393
- **Authorized official:** RICHARD PARK M.D. (CEO)
- **Authorized official phone:** (562) 654-2800

## Contact information

- **Practice address:** 5036 PASSONS BLVD., SUITE 2, PICO RIVERA, CA 90660
- **Practice address phone:** (562) 654-2800
- **Practice address fax:** (562) 654-2802
- **Mailing address:** 5036 PASSONS BLVD STE 2, PICO RIVERA, CA 90660-2864
- **Mailing address phone:** (562) 654-2800
- **Mailing address fax:** (562) 654-2802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 06/15/2026