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Southern California Medical Center, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) in Long Beach, CA. Organization (NPI-2).

NPI number1447865415
StatusActive
Last updated in NPPESJun 13, 2023

Details

NPI
1447865415
Entity type
Organization (NPI-2)
Legal business name
Southern California Medical Center, INC.
Organization subpart
No
Enumeration date
Sep 15, 2020
Certification date
Jun 13, 2023
Last updated
Jun 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
122300000X Dentist––
251S00000X Community/Behavioral Health––
261Q00000X Clinic/Center––
261QC1500X Clinic/Center, Community Health––
261QF0050X Clinic/Center, Family Planning, Non-Surgical––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
261QM1300X Clinic/Center, Multi-Specialty––
261QP2000X Clinic/Center, Physical Therapy––
261QR0206X Clinic/Center, Radiology, Mammography––
261QR1300X Clinic/Center, Rural Health––

Practice location

1627 E Anaheim St
Long Beach, CA 90813-3809

Phone 532-218-8181 · Fax 532-218-8182

Mailing address

Po Box 436
Van Nuys, CA 91408-0436

Phone 818-421-0809 · Fax 562-699-7066

Authorized official

Ellie Zare
Sr. Program Manger
8186506700

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