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Contact Information

SOUTHERN CALIFORNIA PICC PROVIDERS, INC.
5787 LITTLE SHAY DR
FONTANA, CA92336
 Phone: 909-251-7730
 Fax: 909-251-7735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Specialist

246XC2903X
Indicates primary specialty

NPI Profile & details for SOUTHERN CALIFORNIA PICC PROVIDERS, INC.

NPI # 1255738241
LBN Legal business name SOUTHERN CALIFORNIA PICC PROVIDERS, INC.
Authorized official MARIA CATHERINE CHUA - (MEMBER OF THE BOARD)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2014
Last updated 07/13/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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