# SOUTHERN CALIFORNIA HEALTHCARE MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1417992074
- **Authorized official:** DR. HILARION C DAYOAN MD (DIRECTOR OF MEDICAL AFFAIRS)
- **Authorized official phone:** (626) 350-1148

## Contact information

- **Practice address:** 3131 SANTA ANITA AVE, STE 100, EL MONTE, CA 91733-1369
- **Practice address phone:** (626) 350-1148
- **Practice address fax:** (626) 350-1271
- **Mailing address:** 3131 SANTA ANITA AVE, STE 100, EL MONTE, CA 91733-1369
- **Mailing address phone:** (626) 350-1148
- **Mailing address fax:** (626) 350-1271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A387579 | CA | — |
| 208D00000X | General Practice Physician | A31960 | CA | Yes |
| 208D00000X | General Practice Physician | A387579 | CA | — |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0099330 | — | CA |