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Organization
MEDICAL CORPORATION OF SOUTHERN CALIFORNIA
Active
Organization
MEDICAL CORPORATION OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHA REGHUNATHAN MD (CEO)
(818) 634-7529
Entity
Organization
Contact information
Practice address
3687 LAS POSAS RD STE 187H, CAMARILLO, CA 93010-1431
(805) 445-4189
(818) 597-8763
Mailing address
3687 LAS POSAS RD STE 187H, CAMARILLO, CA 93010-1431
(805) 445-4189
(818) 597-8763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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