Southern California Specialty Care, Inc.

NPI #1457583601 in La Mirada, California

Provider Information

NPI Number: 1457583601
Entity Type: Organization
Organization Name: Southern California Specialty Care, Inc.
Primary Specialty: General Practice
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: 14900 IMPERIAL HWY
City: La Mirada
State: California
ZIP Code: 90638-2172
Phone: (562) 944-1900

Authorized Official

Name: MR. MOSTAFA ADAM DARVISH
Title: EXECUTIVE DIRECTOR
Phone: (714) 893-4541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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