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General NPI Number Information
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NPI Number | 1689284606
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Entity Type | Organization
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Legal Business Name | SOCAL INTEGRATED CARE, INC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1220 W GLENOAKS BLVD STE 102
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City | GLENDALE
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State | CA
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Zip | 91201-2298
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Country | US
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Telephone | 818-305-5054
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 W GLENOAKS BLVD STE 102
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City | GLENDALE
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State | CA
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Zip | 91201-2298
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Country | US
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Telephone | 818-305-5054
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Fax | 818-847-7962
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Authorized Official
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Title or Position | CEO
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Name | TALIN DAVOUDI
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Credential | LVN
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Telephone | 818-305-5054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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