| Socal Medical Center., Inc. | |
|
1350 E Los Angeles Ave Ste 204 Simi Valley CA 93065-2860 | |
| (818) 835-9517 | |
| Not Available |
| Full Name | Socal Medical Center., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1350 E Los Angeles Ave Ste 204, Simi Valley, California |
| Authorized Official Name and Position | Bharat Jain (SECRETORY) |
| Authorized Official Contact | 8189173615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Medical Center., Inc. 1350 E Los Angeles Ave Ste 204 Simi Valley CA 93065-2860 Ph: (818) 835-9517 | Socal Medical Center., Inc. 1350 E Los Angeles Ave Ste 204 Simi Valley CA 93065-2860 Ph: (818) 835-9517 |
| NPI Number | 1174123038 |
|---|---|
| Provider Enumeration Date | 10/29/2020 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 9436558954 |
|---|---|
| Medicare Enrollment ID | O20210602002768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174123038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chiraporn C Kunajak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790009348 PECOS PAC ID: 1153516406 Enrollment ID: I20101111001016 |
| Provider Name | Bharat Jain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063724060 PECOS PAC ID: 6901092154 Enrollment ID: I20101130000511 |
| Provider Name | Banafsheh Mazloumi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114799608 PECOS PAC ID: 9638528821 Enrollment ID: I20231213002360 |
| Provider Name | Adrienne Alexis S Yamamoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437920816 PECOS PAC ID: 6608215009 Enrollment ID: I20240418001248 |
| Provider Name | David Stuart Siegel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023881646 PECOS PAC ID: 7214471374 Enrollment ID: I20240628003837 |
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