Southern California Specialty Care, Llc

LBN: Southern California Specialty Care, Llc
Southern California Specialty Care, Llc is an health care organization with primary practice located at 845 N Lark Ellen Ave , West Covina CA 91791. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Southern California Specialty Care, Llc can be contacted via phone (626) 339-5451, or through Darvish, Mostafa Adam via phone (714) 893-4541.

Contact Information

Primary practice address
845 N Lark Ellen Ave West Covina CA 91791
Phone: (626) 339-5451
Fax: (626) 967-3809
Website:
Map and Directions
Authorized official contact:
Name: Darvish, Mostafa Adam
Phone: (714) 893-4541

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1164654315
LBN Legal business name Southern California Specialty Care, Llc
DBA Doing business as
Authorized official Darvish, Mostafa Adam
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Jul 23rd, 2018 - about 7 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 1164654315 NPPES
California MEDICAID HSP32028F
California Other 954494848
California Other ZZZB1900Z

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