Socal Health Services, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

330080AN Issued in CA

Legal business name

SOCAL HEALTH SERVICES, INC

Practice address

1485 Spruce St
Riverside, CA 92507-2445

Phone

(626) 826-9373

NPI assigned

Jul 7, 2007

Last updated

Nov 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tim O Ejindu

Title

Program Director

Phone

(626) 826-9373

Specialties & licenses 1

Addresses

Tax ID family

Socal Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Socal Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverside, CA
  • NPI 1790007185
  NPD tax ID

Locations

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1699973990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3936",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917610987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 SPRUCE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072445",
            "telephone_number": "626-826-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "EJINDU",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "626-826-9373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "330080AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimin So
• So. Cal. Endo Surgical Medical Group, Inc.
• Juliana Soares
• Sober Living by the Sea, Inc (Sunrise Ranch)
• James Sobrino
• Socal Health Services, Inc
• Socal Medical Transportation LLC (Life Fleet LLC)
• Socal Radiology LLC (Southern California Radiology)
• Socal Rehab Associates Inc (Brockton Physical Therapy)
• Socal Sunny Hills, LLC (Socal Sunny Hills)

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.