Organization
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BUSHERI (CEO)
(818) 582-3189
Entity
Organization
Contact information
Practice address
20011 VENTURA BLVD # 1002, WOODLAND HILLS, CA 91364-2573
(818) 528-9525
Mailing address
PO BOX 436, VAN NUYS, CA 91408-0436
(818) 650-6700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental 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)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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