Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southern California Medical Center, Inc

Organization Family Medicine Physician · NPI 1255729661

Southern California Medical Center, Inc provides Family Medicine Physician services in Van Nuys, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
11
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14550 Haynes St
Van Nuys, CA 91411-1613
Phone: (818) 650-6700
Fax: (818) 933-5038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Family Medicine Physician Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Dental Clinic/Center Taxonomy 261QD0000X
Non-Surgical Family Planning Clinic/Center Taxonomy 261QF0050X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X
Health Service Clinic/Center Taxonomy 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Primary Care Clinic/Center Taxonomy 261QP2300X
Radiology Clinic/Center Taxonomy 261QR0200X
Mammography Clinic/Center Taxonomy 261QR0206X

Record details

NPI number1255729661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheila Busheri — Ceo · (818) 650-6700
NPI enumeratedJanuary 7, 2015
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address14550 Haynes St Fl 3, Van Nuys, CA 91411-4116

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