SOUTHERN CALIFORNIA MEDICAL CENTER, INC. – NPI #1174224240
Clinic/Center

SOUTHERN CALIFORNIA MEDICAL CENTER, INC. is an AHC clinic located in VAN NUYS, CA. NPPES has assigned the NPI number 1174224240 to SOUTHERN CALIFORNIA MEDICAL CENTER, INC. on March 15, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 3 years ago on Jun 13, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN CALIFORNIA MEDICAL CENTER, INC. below.

NPI Profile for
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

NPI Number
1174224240
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Primary location
14550 HAYNES ST
VAN NUYS, CA 91411-1613
Phone: (818) 421-0809 Fax:
Mailing address
PO BOX 436
VAN NUYS, CA 91408-0436
Phone: (818) 421-0809 Fax:
Organization Subpart
No
Authorized Official
ELLIE ZARE
SR. PROGRAM MANGER
Phone: (818) 650-6700
Updated
Certification Date
Jun 13, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QP2300X
- Clinic/Center / Primary Care
261QM1300X
- Clinic/Center / Multi-Specialty
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.