SOUTHERN CALIFORNIA IMMEDIATE MEDICAL CENTER is a specialist in La Mirada, 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 IMMEDIATE MEDICAL CENTER NPI is 1205041290. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
15330 VALLEY VIEW AVE STE 1
LA MIRADA, CA
ZIP 90638-238
Phone: (562) 802-0208
Fax: (562) 802-0999
The provider's authorized official is Thonas Roccapalumbo .
The authorized official title is Medical Director and has the following contact phone number (323) 726-3212.
The CLIA number assigned to this NPI record is 05D1022709 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.