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 1255729661

Southern California Medical Center, Inc is a Family Medicine Physician in Van Nuys, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
11
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) 650-6700
Fax: (818) 933-5038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Family Medicine Physician Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Dental Clinic/Center Taxonomy 261QD0000X
Non-Surgical Family Planning Clinic/Center Taxonomy 261QF0050X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Health Service Clinic/Center Taxonomy 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Primary Care Clinic/Center Taxonomy 261QP2300X
Radiology Clinic/Center Taxonomy 261QR0200X
Mammography Clinic/Center Taxonomy 261QR0206X

Record details

NPI number1255729661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheila Busheri — Ceo · (818) 650-6700
NPI enumeratedJanuary 7, 2015
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address14550 Haynes St Fl 3, Van Nuys, CA 91411-4116

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