| Organization Name: | ELDORADO COMMUNITY SERVICE CENTER |
| NPI Number: | 1174803852 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRAMESH P SHARMA (CFO) |
| Mailing Address: | 8207 Whittier Blvd Pico Rivera |
| State: | CA US |
| Postal Code: | 906602521 |
| Phone Number: | 5626922522 |
| Fax Number: | 5626950413 |
| NPI Enumeration Date: | 08/25/2011 |
| NPI Last Update Date: | 08/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |