# SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1932428828
- **Authorized official:** ELLIE ZARE (SR. PROGRAM MANAGER)
- **Authorized official phone:** (818) 650-6700

## Contact information

- **Practice address:** 8825 WHITTIER BLVD, PICO RIVERA, CA 90660-2657
- **Practice address phone:** (818) 421-0809
- **Mailing address:** PO BOX 436, VAN NUYS, CA 91408-0436
- **Mailing address phone:** (818) 421-0809
- **Mailing address fax:** (562) 699-7066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 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 | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 06/13/2023