Organization
WEST COUNTY MEDICAL CORP-NON PROFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEANJAY RAMANAND SHARMA (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
100 E MARKET ST, LONG BEACH, CA 90805-5924
(562) 428-4222
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70763F
—
CA
Enumeration date
05/04/2007
Last updated
01/31/2017
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