Southern California Internal Medicine, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A61258 Issued in CA

Legal business name

SOUTHERN CALIFORNIA INTERNAL MEDICINE, INC.

Doing business as

scim

Practice address

31805 Temecula Parkway Suite 165
Temecula, CA 92592

Phone

(951) 395-0681

Fax

(951) 346-4110

NPI assigned

Mar 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Osvaldo A Lopez, MD

Title

Ceo and President

Phone

(951) 219-9543

Specialties & licenses 1

Addresses

Other names 1

• scim Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1255792800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31805 TEMECULA PARKWAY SUITE 165",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31805 TEMECULA PARKWAY SUITE 165",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92592",
            "telephone_number": "951-395-0681",
            "fax_number": "951-346-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "951-219-9543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A61258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "scim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Addiction Center
• Southern California Detox
• Southern California Internal Medicine Group
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Marriage and Family (Southland Mental Health Alliance)
• Southland Medical Supply
• Southwest Cardiology Medical Group, Inc.
• Southwest Family Counseling Inc

• Medical Specialty Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.