Southern California Specialty Care, Llc, NPI 1033294723
Long Term Care Hospital in La Mirada, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1033294723
NPI Entity Type Organization
Provider Name Southern California Specialty Care, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 14900 Imperial Hwy, La Mirada, CA, US
Provider Mailing Address 14900 Imperial Hwy, La Mirada, CA, US, 906382172
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Kathy Teague
Official Position VICE PRESIDENT, CORPORATE SECRETARY
Phone 629-253-5121

Primary Taxonomy

Taxonomy Code

282E00000X

Taxonomy Name Long Term Care Hospital
Classification

Long Term Care Hospital

Group

Hospitals

License No. 930000084
License State CA
Description Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Other Organization Name

Kindred Hospital - La Mirada
Doing Business As

Business Address

Southern California Specialty Care, Llc
14900 Imperial Hwy

La Mirada, CA, US

Phone: 562-944-1900
Fax: 562-906-3455

Mailing Address

Southern California Specialty Care, Llc
14900 Imperial Hwy
La Mirada, CA, US
ZIP 906382172
Phone: 562-944-1900
Fax: 562-906-3455

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
HSP32028F CA MEDICAID 05
ZZZB1919Z CA BLUE CROSS 01

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NPI Name Taxonomy Address

1437888120

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MFT Yasmin Vishram-morris

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Marriage & Family Therapist

9696 Culver Blvd Ste 303

Culver City, CA

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