Provider Demographics
NPI:1629409016
Name:INPATIENT CARE OF SOUTHERN CALIFORNIA INC
Entity Type:Organization
Organization Name:INPATIENT CARE OF SOUTHERN CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:EBNESHAHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-344-7976
Mailing Address - Street 1:751 W LEGION RD
Mailing Address - Street 2:105
Mailing Address - City:BRAWLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92227-7732
Mailing Address - Country:US
Mailing Address - Phone:760-344-7976
Mailing Address - Fax:760-344-7106
Practice Address - Street 1:751 W LEGION RD
Practice Address - Street 2:105
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-7732
Practice Address - Country:US
Practice Address - Phone:760-344-7976
Practice Address - Fax:760-344-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty