| Southern California Medical Center, Inc. | |
|
8825 Whittier Blvd Pico Rivera CA 90660-2657 | |
| (818) 421-0809 | |
| Not Available |
| Full Name | Southern California Medical Center, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8825 Whittier Blvd, Pico Rivera, California |
| Authorized Official Name and Position | Ellie Zare (PROGRAM MANAGER) |
| Authorized Official Contact | 8186506700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Medical Center, Inc. 14550 Haynes St Van Nuys CA 91411-1613 Ph: (818) 421-0809 | Southern California Medical Center, Inc. 8825 Whittier Blvd Pico Rivera CA 90660-2657 Ph: (818) 421-0809 |
| NPI Number | 1992430961 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992430961 | NPI | - | NPPES |
| 1932428828 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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