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1164654315
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC
WEST COVINA, CA
NPI
1164654315
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Entity Type
Organization
Authorized Contact
MOSTAFA ADAM DARVISH
Executive Director
714-893-4541
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2009-08-20
Last Update Date
2018-07-23
Business Address
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC
845 N LARK ELLEN AVE
WEST COVINA, CA 91791
Phone number: 626-339-5451
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Mailing Address
SOUTHERN CALIFORNIA SPECIALTY CARE, LLC
845 N LARK ELLEN AVE
WEST COVINA, CA 91791-1069
Phone number: 626-339-5451
Copy
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