Provider Demographics
NPI:1710587670
Name:PHYSICIANS OF SOUTHERN CALIFORNIA INC
Entity Type:Organization
Organization Name:PHYSICIANS OF SOUTHERN CALIFORNIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AAMIR
Authorized Official - Middle Name:ZAIN
Authorized Official - Last Name:JAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-542-2777
Mailing Address - Street 1:1335 CYPRESS ST STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3538
Mailing Address - Country:US
Mailing Address - Phone:909-542-2777
Mailing Address - Fax:909-394-1800
Practice Address - Street 1:1304 W HOLT BLVD STE A
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-3640
Practice Address - Country:US
Practice Address - Phone:909-542-2777
Practice Address - Fax:909-394-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty