| Southern California Specialty Care, Llc | |
|
1901 College Ave Santa Ana CA 92706 | |
| (714) 564-7800 | |
| (714) 564-7814 |
| Full Name | Southern California Specialty Care, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1901 College Ave, Santa Ana, California |
| Authorized Official Name and Position | Mostafa Adam Darvish (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7148934541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Specialty Care, Llc 1901 College Ave Santa Ana CA 92706-2334 Ph: (714) 564-7800 | Southern California Specialty Care, Llc 1901 College Ave Santa Ana CA 92706 Ph: (714) 564-7800 |
| NPI Number | 1780816934 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780816934 | NPI | - | NPPES |
| ZZZD3003Z | Other | CA | BLUE CROSS |
| HSP32028F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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