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Organization
SCCT MEDICAL GROUP, PC
Active
Organization
SCCT MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WALSMA MD (OWNER)
(314) 620-8573
Entity
Organization
Contact information
Practice address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2001
(661) 200-1122
(661) 200-1119
Mailing address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2001
(661) 200-1122
(661) 200-1119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/30/2018
Last updated
04/18/2024
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