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Southern California Specialty Care, Llc
Long Term Care Hospital in West Covina, California
NPI 1942385224

Southern California Specialty Care, Llc is a Long Term Care Hospital based in West Covina, CA. Southern California Specialty Care, Llc practices in West Covina, CA. The NPI Number for Southern California Specialty Care, Llc is 1942385224 and holds a License No. 930000084 (California).

The current practice location address for Southern California Specialty Care, Llc is 845 N Lark Ellen Ave, West Covina, CA and can be reached out via phone at 626-339-5451 and via fax at 626-967-3809.

Location: 845 N Lark Ellen Ave, West Covina, CA, 91791-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942385224
Provider Name
Southern California Specialty Care, Llc
Credential
Provider Entity Type
Organization
Address
845 N Lark Ellen Ave, West Covina, CA, 91791-1069
Phone Number
626-339-5451
Fax Number
626-967-3809
Provider Enumeration Date
10/26/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
954494848 01 CA TRICARE/CHAMPUS
HSP32028F 05 CA
ZZZB1900Z 01 CA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
845 N Lark Ellen Ave
City
West Covina
State
California
Zip
91791
Phone Number
626-339-5451
Fax Number
626-967-3809
person
Provider Business Mailing Address Details
Address
845 N Lark Ellen Ave
City
West Covina
State
California
Zip
91791
Phone Number
626-339-5451
Fax Number
626-967-3809
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Long Term Care Hospital
Speciality
-
Taxonomy
282E00000X
License No.
930000084 (California)
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
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