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SCCC A MEDICAL CORPORATION NPI 1760679856


NPI Information

NPI: 1760679856
Provider Name: SCCC A MEDICAL CORPORATION

Other Name: SOUTHERN CALIFORNIA CARDIOVASCULAR CONSULTANTS

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1510 S CENTRAL AVE
SUITE 420
GLENDALE, CA
ZIP 91204
Phone: (818) 242-8816
Get Directions

SCCC A MEDICAL CORPORATION is a cardiovascular disease internal medicine in Glendale, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SCCC A MEDICAL CORPORATION NPI is 1760679856. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Southern California Cardiovascular Consultants.

The provider's business location address is:

1510 S CENTRAL AVE
SUITE 420
GLENDALE, CA
ZIP 91204-500
Phone: (818) 242-8816
Fax: (818) 242-0610

The provider's authorized official is Aylin I. Hemelians .
The authorized official title is Health Administrator and has the following contact phone number (818) 242-8816.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 8/2/2010.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1W12148MEDICARE PINCALIFORNIA
21366585309OTHERCALIFORNIANPI WEN
31407972821OTHERCALIFORNIANPI GOODWIN
41851434898OTHERCALIFORNIANPI O'CONNOR
5GR0057810MEDICAIDCALIFORNIA

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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