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SOUTHERN CALIFORNIA SURGICAL SPECIALISTS INC NPI 1902098064


NPI Information

NPI: 1902098064
Provider Name: SOUTHERN CALIFORNIA SURGICAL SPECIALISTS, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
50 BELLEFONTAINE ST
SUITE 307
PASADENA, CA
ZIP 91105
Phone: (626) 795-0411
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SOUTHERN CALIFORNIA SURGICAL SPECIALISTS, INC is a specialist in Pasadena, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA SURGICAL SPECIALISTS, INC NPI is 1902098064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 BELLEFONTAINE ST
SUITE 307
PASADENA, CA
ZIP 91105-132
Phone: (626) 795-0411
Fax: (626) 795-0080

The provider's authorized official is Sherin K. Shirazi .
The authorized official title is Owner and has the following contact phone number (626) 795-0411.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 11/3/2007.


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
1174400000XSpecialistA62828CALIFORNIAYes

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
1W20973MEDICARE PINCALIFORNIA

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: 4/28/2024

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