Organization
ELDORADO COMMUNITY SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAMESH P SHARMA (CFO)
(661) 254-6630
Entity
Organization
Contact information
Practice address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 692-2522
(562) 695-0413
Mailing address
PO BOX 801809, VALENCIA, CA 91380-1809
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700882156
—
CA
Enumeration date
08/25/2011
Last updated
08/25/2011
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