| Southern California Medical Center, Inc. | |
|
502 W Holt Ave Pomona CA 91768-3604 | |
| (909) 620-8500 | |
| (909) 620-5799 |
| Full Name | Southern California Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 W Holt Ave, Pomona, California |
| Authorized Official Name and Position | Ellie Zare (SR. PROGRAM MANAGER) |
| Authorized Official Contact | 8186506700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Medical Center, Inc. Po Box 436 Van Nuys CA 91408-0436 Ph: (818) 421-0809 | Southern California Medical Center, Inc. 502 W Holt Ave Pomona CA 91768-3604 Ph: (909) 620-8500 |
| NPI Number | 1821625872 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 2769666817 |
|---|---|
| Medicare Enrollment ID | O20200414000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821625872 | NPI | - | NPPES |
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