Organization
ELDORADO COMMUNITY SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN SHARMA PHD (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
2272 PACIFIC AVE, SUITE A, LONG BEACH, CA 90806-4312
(661) 254-6630
(661) 254-6644
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
550001744
CA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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