SOCAL MEDICAL GROUP NPI 1679945695

NPI Information

NPI: 1679945695
Provider Name: SOCAL MEDICAL GROUP
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
8207 MULHOLLAND DR
LOS ANGELES, CA
ZIP 90046
Phone: (800) 724-8207
Get Directions

SOCAL MEDICAL GROUP is an addiction medicine family medicine in Los Angeles, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. SOCAL MEDICAL GROUP NPI is 1679945695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8207 MULHOLLAND DR
LOS ANGELES, CA
ZIP 90046-132
Phone: (800) 724-8207
Fax: (800) 729-8207

The provider's authorized official is Terry Schoser .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (323) 364-6489.

The enumeration date for this NPI number is 10/29/2015 and was last updated on 1/18/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	35886	CALIFORNIA	No
2	2084A0401X	Psychiatry & Neurology	Addiction Medicine	136475	CALIFORNIA	No
3	207QA0401X	Family Medicine	Addiction Medicine	66975	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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