Provider Demographics
NPI:1346834694
Name:SC MEDICAL, INC.
Entity Type:Organization
Organization Name:SC MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:APRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:BASAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-251-6300
Mailing Address - Street 1:19042 SOLEDAD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-3362
Mailing Address - Country:US
Mailing Address - Phone:661-251-6300
Mailing Address - Fax:661-251-6303
Practice Address - Street 1:27550 NEWHALL RANCH RD STE 203
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6049
Practice Address - Country:US
Practice Address - Phone:661-251-6300
Practice Address - Fax:661-251-6303
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SC MEDICAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-26
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care