Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Socal Specialty Care Medical Corporation

Organization Family Medicine Physician · NPI 1417885468

Socal Specialty Care Medical Corporation is a Family Medicine Physician in Redlands, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

308 W State St Ste 3D
Redlands, CA 92373-4653
Phone: (909) 577-1124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1417885468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Landon Ehteshamzadeh — Vice President · (909) 577-1124
NPI enumeratedMay 11, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address308 W State St Ste 3d, Redlands, CA 92373-4653

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