| Socal Medical Center., Inc. | |
|
1350 E Los Angeles Ave Ste 204 Simi Valley CA 93065-2860 | |
| (818) 835-9517 | |
| Not Available |
| Full Name | Socal Medical Center., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1350 E Los Angeles Ave Ste 204, Simi Valley, California |
| Authorized Official Name and Position | Bharat Jain (SECRETORY) |
| Authorized Official Contact | 8189173615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Medical Center., Inc. 1350 E Los Angeles Ave Ste 204 Simi Valley CA 93065-2860 Ph: (818) 835-9517 | Socal Medical Center., Inc. 1350 E Los Angeles Ave Ste 204 Simi Valley CA 93065-2860 Ph: (818) 835-9517 |
| NPI Number | 1174123038 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 9436558954 |
|---|---|
| Medicare Enrollment ID | O20210602002768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174123038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bharat Jain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063724060 PECOS PAC ID: 6901092154 Enrollment ID: I20101130000511 |
| Provider Name | Banafsheh Mazloumi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114799608 PECOS PAC ID: 9638528821 Enrollment ID: I20231213002360 |
| Provider Name | Adrienne Alexis Salvador Yamamoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437920816 PECOS PAC ID: 6608215009 Enrollment ID: I20240418001248 |
Pulmonary Critical Care Associates Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2925 N Sycamore Dr, Suite # 306, Simi Valley, CA 93065 Phone: 805-583-4111 Fax: 805-583-2041 | |
Abdul W Nawabi Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2876 Sycamore Dr Ste 101, Simi Valley, CA 93065 Phone: 805-527-6424 Fax: 805-522-0115 | |
Lakeside Community Healthcare Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3605 Alamo St, Suite 100, Simi Valley, CA 93063 Phone: 805-522-6577 Fax: 805-522-7030 | |
North Valley G.i. Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1156 Swallow Ln, Simi Valley, CA 93065 Phone: 805-526-6016 Fax: 805-791-3992 | |
Daniel Ghiyam M D Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2840 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-526-8360 | |
Ans Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5775 E Los Angeles Ave Ste 125, Simi Valley, CA 93063 Phone: 213-757-8729 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2755 Alamo St # 201, Simi Valley, CA 93065 Phone: 805-578-9620 |