Organization
WEST COUNTY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAMESH PRAKASH SHARMA (SR V P)
(661) 254-6630
Entity
Organization
Contact information
Practice address
2272 PACIFIC AVENUE, LONG BEACH, CA 90806
(562) 427-8018
(562) 427-8130
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-128
STATE NTP LICENSE
CA
05
—
19-128
—
CA
Enumeration date
08/13/2008
Last updated
02/06/2020
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