Organization
SOUTHERN CALIFORNIA MEDICAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VAISHALI SANJAY DESHMUKH (OFFICE MANAGER)
(714) 543-9555
Entity
Organization
Contact information
Practice address
1625 E 17TH ST STE 100, SANTA ANA, CA 92705-8517
(714) 543-9555
(714) 543-9595
Mailing address
1625 E 17TH ST STE 100, SANTA ANA, CA 92705-8517
(714) 543-9555
(714) 543-9595
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A65424
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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