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General NPI Number Information
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NPI Number | 1417992074
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA HEALTHCARE MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3131 SANTA ANITA AVE STE 100
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City | EL MONTE
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State | CA
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Zip | 91733-1369
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Country | US
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Telephone | 626-350-1148
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Fax | 626-350-1271
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Provider Business Mailing Address
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Address Line | 3131 SANTA ANITA AVE STE 100
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City | EL MONTE
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State | CA
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Zip | 91733-1369
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Country | US
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Telephone | 626-350-1148
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Fax | 626-350-1271
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Authorized Official
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Title or Position | DIRECTOR OF MEDICAL AFFAIRS
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Name | DR. HILARION C DAYOAN
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Credential | MD
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Telephone | 626-350-1148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A387579
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A387579
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A31960
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License Number State | CA
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