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

Southern California Specialty Care, LLC

Organization General Practice Physician · NPI 1164654315

Southern California Specialty Care, LLC is a General Practice Physician in West Covina, California. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 N Lark Ellen Ave
West Covina, CA 91791
Phone: (626) 339-5451
Fax: (626) 967-3809
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1164654315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mostafa Darvish — Executive Director · (714) 893-4541
NPI enumeratedAugust 20, 2009
Last updated in NPPESJuly 23, 2018
Mailing address845 N Lark Ellen Ave, West Covina, CA 91791-1069

Other providers in West Covina