| Southern California Healthcare Medical Corporation | |
|
3131 Santa Anita Ave Ste 100 El Monte CA 91733-1369 | |
| (626) 350-1148 | |
| (626) 350-1271 |
| Full Name | Southern California Healthcare Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 3131 Santa Anita Ave, El Monte, California |
| Authorized Official Name and Position | Hilarion C Dayoan (DIRECTOR OF MEDICAL AFFAIRS) |
| Authorized Official Contact | 6263501148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Healthcare Medical Corporation 3131 Santa Anita Ave Ste 100 El Monte CA 91733-1369 Ph: (626) 350-1148 | Southern California Healthcare Medical Corporation 3131 Santa Anita Ave Ste 100 El Monte CA 91733-1369 Ph: (626) 350-1148 |
| NPI Number | 1417992074 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992074 | NPI | - | NPPES |
| GR0099330 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A387579 (California) | Primary |
| 208D00000X | General Practice | A387579 (California) | Primary |
| 208D00000X | General Practice | A31960 (California) | Primary |
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