| Southern California Medical Center, Inc. | |
|
14550 Haynes St Van Nuys CA 91411-1613 | |
| (818) 421-0809 | |
| Not Available |
| Full Name | Southern California Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14550 Haynes St, Van Nuys, California |
| Authorized Official Name and Position | Ellie Zare (SR. PROGRAM MANGER) |
| Authorized Official Contact | 8186506700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Medical Center, Inc. Po Box 436 Van Nuys CA 91408-0436 Ph: (818) 421-0809 | Southern California Medical Center, Inc. 14550 Haynes St Van Nuys CA 91411-1613 Ph: (818) 421-0809 |
| NPI Number | 1174224240 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174224240 | NPI | - | NPPES |
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