Organization
SCCC A MEDICAL CORPORATION
Active
Organization
SCCC A MEDICAL CORPORATION
Active
Other names
Southern California Cardiovascular Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYLIN I. HEMELIANS BS, MHA (HEALTH ADMINISTRATOR)
(818) 242-8816
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 420, GLENDALE, CA 91204-2500
(818) 242-8816
(818) 242-0610
Mailing address
1510 S CENTRAL AVE, SUITE 420, GLENDALE, CA 91204-2500
(818) 242-8816
(818) 242-0610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366585309
NPI WEN
CA
01
—
1407972821
NPI GOODWIN
CA
01
—
1851434898
NPI O'CONNOR
CA
05
—
GR0057810
—
CA
Enumeration date
10/02/2007
Last updated
08/02/2010
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