Organization
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE ZARE (SR. PROGRAM MANAGER)
(818) 650-6700
Entity
Organization
Contact information
Practice address
12100 VALLEY BLVD STE 109A, EL MONTE, CA 91732-3161
(626) 575-7500
(626) 575-1956
Mailing address
PO BOX 436, VAN NUYS, CA 91408-0436
(818) 421-0809
(562) 699-7066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
05/18/2010
Last updated
06/13/2023
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