Organization
SOCAL SPECIALTY CARE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON S EHTESHAMZADEH (VICE PRESIDENT)
(909) 577-1124
Entity
Organization
Contact information
Practice address
308 W STATE ST STE 3D, REDLANDS, CA 92373-4653
(909) 577-1124
Mailing address
308 W STATE ST STE 3D, REDLANDS, CA 92373-4653
(909) 577-1124
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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