Southern California Immediate Medical Center in La Mirada - Specialist
Southern California Immediate Medical Center - NPI 1205041290
Southern California Immediate Medical Center is a Specialist in La Mirada, California. Southern California Immediate Medical Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southern California Immediate Medical Center is 1205041290. The last update date is 2020-08-22.
Southern California Immediate Medical Center's current location address is 15330 Valley View Ave Ste 1, La Mirada, California. You can contact this provider via phone number 5628020208 and fax number 5628020999. The mailing address for Southern California Immediate Medical Center is 15330 Valley View Ave Ste 1, La Mirada, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern California Immediate Medical Center |
|---|---|
| Address | 15330 Valley View Ave Ste 1, La Mirada, California |
| Phone Number | 5628020208 |
| Fax Number | 5628020999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Roccapalumbo Thonas |
| Credentials | DO |
| Telephone Number | 3237263212 |
NPI Number Detail
| NPI Number | 1205041290 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15330 Valley View Ave Ste 1 |
|---|---|
| City | La Mirada |
| State | California (CA) |
| Post Code | 906385238 |
| Phone Number | 5628020208 |
| Fax Number | 5628020999 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 20 A5386 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Southern California Immediate Medical Center by the Centers for Medicare & Medicaid Services?
The Southern California Immediate Medical Center has been issued the NPI (National Provider Identifier) 1205041290 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Southern California Immediate Medical Center located?
The Southern California Immediate Medical Center is located at 15330 Valley View Ave Ste 1, La Mirada, CA 906385238.
What is Southern California Immediate Medical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern California Immediate Medical Center is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Southern California Immediate Medical Center receive its 1205041290 assignment from the Centers for Medicare & Medicaid Services?
The Southern California Immediate Medical Center was assigned its 1205041290 on 2007-05-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Southern California Immediate Medical Center last refreshed?
The information related to the Southern California Immediate Medical Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY