South Central Medical Clinic

NPI Registration Record

Provider / Organization	NPI	Date Certified
SOUTH CENTRAL MEDICAL CLINIC	1962001420	2020-10-25

The organization South Central Medical Clinic is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1962001420. Registration indicates South Central Medical Clinic is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity Type	Organization
Provider Organization	SOUTH CENTRAL MEDICAL CLINIC
Practice Office Address	10024 S VERMONT AVE LOS ANGELES, CA US
Practice Office Telephone	3237561412
Practice Office Fax	3237561413
Mailing Address	10024 S VERMONT AVE LOS ANGELES, CA 900443112 US
Business Telephone	3237561412
Business Fax	3237561413
Authorized Official	QUINTA CUNNINGHAM, AUTHORIZE OFFIC 3237561412

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