Southern California Specialty Care, LLC
NPI #1164654315 in West Covina, California
Provider Information
- NPI Number
- 1164654315
- Entity Type
- Organization
- Organization Name
- Southern California Specialty Care, LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Aug 20, 2009
- Last Updated
- Jul 23, 2018
Practice Location
- Address
- 845 N LARK ELLEN AVE
- City
- West Covina
- State
- California
- ZIP Code
- 91791
- Phone
- (626) 339-5451
Authorized Official
- Name
- MR. MOSTAFA ADAM DARVISH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (714) 893-4541
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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