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SOUTHERN CALIFORNIA HEALTHCARE MEDICAL CORPORATION NPI 1417992074


NPI Information

NPI: 1417992074
Provider Name: SOUTHERN CALIFORNIA HEALTHCARE MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3131 SANTA ANITA AVE
STE 100
EL MONTE, CA
ZIP 91733
Phone: (626) 350-1148
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SOUTHERN CALIFORNIA HEALTHCARE MEDICAL CORPORATION is a family medicine in El Monte, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHERN CALIFORNIA HEALTHCARE MEDICAL CORPORATION NPI is 1417992074. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3131 SANTA ANITA AVE
STE 100
EL MONTE, CA
ZIP 91733-369
Phone: (626) 350-1148
Fax: (626) 350-1271

The provider's authorized official is Hilarion C Dayoan .
The authorized official title is Director Of Medical Affairs and has the following contact phone number (626) 350-1148.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA387579CALIFORNIAYes
2208D00000XGeneral PracticeA387579CALIFORNIAX
3208D00000XGeneral PracticeA31960CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0099330MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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