Southern California Healthcare Medical Corporation

LBN: Southern California Healthcare Medical Corporation
Southern California Healthcare Medical Corporation is an health care organization with primary practice located at 3131 Santa Anita Ave Ste 100, El Monte CA 91733-1369. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Southern California Healthcare Medical Corporation can be contacted via phone (626) 350-1148, or through Dayoan, Hilarion C via phone (626) 350-1148.

Contact Information

Primary practice address
3131 Santa Anita Ave Ste 100 El Monte CA 91733-1369
Fax: (626) 350-1271
Website:
Authorized official contact:
Name: Dayoan, Hilarion C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A387579 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A387579 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A31960 California

Profile Details

NPI number 1417992074
LBN Legal business name Southern California Healthcare Medical Corporation
DBA Doing business as
Authorized official Dayoan, Hilarion C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417992074 NPPES
California MEDICAID GR0099330

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