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General NPI Number Information
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NPI Number | 1912262981
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Entity Type | Organization
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Legal Business Name | SOUTHERN CALIFORNIA ID ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 320 SUPERIOR AVE STE 370
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-2795
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Country | US
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Telephone | 949-515-3590
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Fax | 949-515-3594
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Provider Business Mailing Address
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Address Line | 320 SUPERIOR AVE STE 370
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-2795
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Country | US
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Telephone | 949-515-3590
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Fax | 949-515-3594
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANJALI SACHDEV VORA
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Credential | M.D.
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Telephone | 949-515-3590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A98169
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License Number State | CA
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