Southern California Medical Management, Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SOUTHERN CALIFORNIA MEDICAL MANAGEMENT, INC

Practice address

2801 Atlantic Ave
Long Beach, CA 90806-1701

Phone

(562) 933-2000

NPI assigned

Feb 19, 2007

Last updated

Aug 22, 2020By 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

Narender Bhatia

Title

President

Phone

(714) 374-0816

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902940190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5280",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926155280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA MEDICAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "NARENDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-374-0816"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lara Lynn South, PHD
• Bali Southam
• Alea Southard
• Southern California Medical Center, Inc.
• Southern California Medical Coalition Inc.
• Southern California Minimal Invasive Endoscopy Inc
• Southern California Pulmonologists and Intensivists Network
• Southern Los Angeles County Anesthesia Medical Group Incorporated
• Southern Medical Corporation
• Mikeisha Ann Southern

• Gynecology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.