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SOUTHERN CALIFORNIA MEDICAL CENTER NPI 1902202195


NPI Information

NPI: 1902202195
Provider Name: SOUTHERN CALIFORNIA MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D0898122

Address:
12100 VALLEY BLVD STE 109A
EL MONTE, CA
ZIP 91732
Phone: (626) 575-7500
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SOUTHERN CALIFORNIA MEDICAL CENTER is a clinic center in El Monte, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHERN CALIFORNIA MEDICAL CENTER NPI is 1902202195. The provider is registered as an organization entity type.

The provider's business location address is:

12100 VALLEY BLVD STE 109A
EL MONTE, CA
ZIP 91732-161
Phone: (626) 575-7500

The provider's authorized official is Mohammad Rosekhi .
The authorized official title is Cheif Medical Officer and has the following contact phone number (626) 575-7500.

The CLIA number assigned to this NPI record is 05D0898122 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2014 and was last updated on 11/14/2014.


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
1261Q00000XClinic/Center95000890CALIFORNIAYes

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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