SOUTHERN CALIFORNIA SPECIALTY CARE INC. NPI 1457583601

NPI Information

  • NPI: 1457583601
  • Provider Name: SOUTHERN CALIFORNIA SPECIALTY CARE, INC.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 14900 IMPERIAL HWY
    LA MIRADA, CA
    ZIP 90638
  • Phone: (562) 944-1900

Map and Directions

Get Directions

NPI Details

SOUTHERN CALIFORNIA SPECIALTY CARE, INC. is a general practice in La Mirada, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTHERN CALIFORNIA SPECIALTY CARE, INC. NPI is 1457583601. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14900 IMPERIAL HWY
LA MIRADA, CA
ZIP 90638-172
Phone: (562) 944-1900
Fax: (562) 906-3455

The provider's authorized official is Mostafa Adam Darvish .
The authorized official title is Executive Director and has the following contact phone number (714) 893-4541.

The enumeration date for this NPI number is 8/20/2009 and was last updated on 8/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HSP32028FMEDICAIDCALIFORNIA
2ZZZB1919ZOTHERBLUE CROSS
3052038MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI