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

Southern California Medical Center, Inc

Organization Family Medicine Physician · NPI 1174224240

Southern California Medical Center, Inc is a Family Medicine Physician in Van Nuys, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14550 Haynes St
Van Nuys, CA 91411-1613
Phone: (818) 421-0809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1174224240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellie Zare — Sr. Program Manger · (818) 650-6700
NPI enumeratedMarch 15, 2023
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing addressPo Box 436, Van Nuys, CA 91408-0436

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