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

Southern California Specialty Care, LLC

Organization General Practice Physician · NPI 1164654315

Southern California Specialty Care, LLC provides General Practice Physician services in West Covina, California. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

845 N Lark Ellen Ave
West Covina, CA 91791
Phone: (626) 339-5451
Fax: (626) 967-3809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1164654315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mostafa Darvish — Executive Director · (714) 893-4541
NPI enumeratedAugust 20, 2009
Last updated in NPPESJuly 23, 2018
Mailing address845 N Lark Ellen Ave, West Covina, CA 91791-1069

Other providers in West Covina