SDC Medical Clinic

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

SDC MEDICAL CLINIC

Practice address

1523 E Amar Rd
Suite C
West Covina, CA 91792-1619

Phone

(626) 839-9100

Fax

(626) 839-9106

NPI assigned

Aug 8, 2011

Organization subpart

No

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

Authorized official

Name

Lina Carandang Dela Cruz, M.D.

Title

Medical Doctor

Phone

(626) 839-9100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1861771875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 E AMAR RD",
            "address_2": "SUITE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921619",
            "telephone_number": "626-839-9100",
            "fax_number": "626-839-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 E AMAR RD",
            "address_2": "SUITE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921619",
            "telephone_number": "626-839-9100",
            "fax_number": "626-839-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDC MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "CARANDANG",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "626-839-9100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in West Covina, CA
• Providers in West Covina, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.