# SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1821625872
- **Authorized official:** ELLIE ZARE (SR. PROGRAM MANAGER)
- **Authorized official phone:** (818) 650-6700

## Contact information

- **Practice address:** 502 W HOLT AVE, POMONA, CA 91768-3604
- **Practice address phone:** (909) 620-8500
- **Practice address fax:** (909) 620-5799
- **Mailing address:** PO BOX 436, VAN NUYS, CA 91408-0436
- **Mailing address phone:** (818) 421-0809
- **Mailing address fax:** (909) 620-5799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2020
- **Last updated:** 06/13/2023