Socal Medical Group

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

66975 Issued in CA

Legal business name

SOCAL MEDICAL GROUP

Practice address

8207 Mulholland Dr
Los Angeles, CA 90046-1132

Phone

(800) 724-8207

Fax

(800) 729-8207

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Terry Schoser

Title

Revenue Cycle Manager

Phone

(323) 364-6489

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1679945695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 BRISTOL PKWY",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306601",
            "telephone_number": "323-364-6489",
            "fax_number": "800-729-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 MULHOLLAND DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461132",
            "telephone_number": "800-724-8207",
            "fax_number": "800-729-8207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Science Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930210801",
            "country_code": "US",
            "telephone_number": "805-530-5301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3821 Marks Rd",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913013648",
            "country_code": "US",
            "telephone_number": "818-722-9943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8207 Mulholland Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900461132",
            "country_code": "US",
            "telephone_number": "323-364-6489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31275 Bailard Rd",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902652605",
            "country_code": "US",
            "telephone_number": "310-457-2695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6053 Bristol Pkwy",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902306601",
            "country_code": "US",
            "telephone_number": "323-412-9840 x109",
            "fax_number": "800-729-8207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "SCHOSER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "323-364-6489"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "35886",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "66975",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "136475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Socal Behavioral Health Solutions LLC
• Socal Flu Shots
• Socal Healthnet Inc
• Socal Imaging
• Socal Interpriting
• Socal Psychiatric Medical Group, a Medical Corporation
• Socal Recuperative Care
• Socal Skin and Surgery
• Socal Sleep Centers LLC
• Socal Transitional Living LLC

• Addiction Medicine (Family Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.