Organization
SOUTHERN CALIFORNIA MEDICAL MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARENDER BHATIA (PRESIDENT)
(714) 374-0816
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-2000
Mailing address
PO BOX 5280, HUNTINGTON BEACH, CA 92615-5280
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A339561
—
CA
Enumeration date
02/19/2007
Last updated
08/22/2020
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