Organization
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Active
Organization
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE ZARE (SR. PROGRAM MANGER)
(818) 650-6700
Entity
Organization
Contact information
Practice address
1627 E ANAHEIM ST, LONG BEACH, CA 90813-3809
(532) 218-8181
(532) 218-8182
Mailing address
PO BOX 436, VAN NUYS, CA 91408-0436
(818) 421-0809
(562) 699-7066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
09/15/2020
Last updated
06/13/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up