El Dorado Community Service Center
NPI #1912254418 in Azusa, California
Provider Information
- NPI Number
- 1912254418
- Entity Type
- Organization
- Organization Name
- El Dorado Community Service Center
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 14, 2012
- Last Updated
- Jan 31, 2017
Practice Location
- Address
- 472 S CITRUS AVE
- City
- Azusa
- State
- California
- ZIP Code
- 91702-4733
- Phone
- (626) 858-9500
Authorized Official
- Name
- SEANJAY RAMANAND SHARMA
- Title
- PRESIDENT
- Phone
- (661) 254-6630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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