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
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