Healthcare Provider Details
I. General information
NPI: 1518897578
Provider Name (Legal Business Name): DOCTORS OF SOUTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3927 BALDWIN AVE
EL MONTE CA
91731-1703
US
IV. Provider business mailing address
3927 BALDWIN AVE
EL MONTE CA
91731-1703
US
V. Phone/Fax
- Phone: 626-287-8866
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NUPUR
KUMAR
Title or Position: CEO
Credential: DO
Phone: 213-977-0187