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05D2219772 CLIA NUMBER - PHYSICIANS OF SOUTHERN CALIFORNIA INC

Laboratory Demographics

CLIA Number: 05D2219772

Facility Name: PHYSICIANS OF SOUTHERN CALIFORNIA INC

Facility Address:
315 NORTH THIRD AVENUE SUITE 303A
COVINA, CA
ZIP 91723
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Facility Phone Number: 909 542-2777

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1710587670

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D2219772
LAB Type Physician Office
Facility Name PHYSICIANS OF SOUTHERN CALIFORNIA INC
Street 315 NORTH THIRD AVENUE SUITE 303A
City COVINA
State CA
ZIP 91723
Phone 909 542-2777
CertificateType 4
CertificateEffectiveDate 4/7/2023
CertificateExpirationDate 4/6/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024