LOYOLA FAMILY HEALTH CENTER (NPI# 1760947451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760947451 |
| Entity Type | Organization |
| Organization Name | LOYOLA FAMILY HEALTH CENTER |
| Practice Address |
4225 Tweedy Blvd South Gate CA 90280-6217 |
| Practice Telephone | 3235646464 |
| Practice Fax Number | 3235648578 |
| Mailing Telephone | 3235646464 |
| Mailing Fax Number | 3235648578 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | CARLOS AGUSTO VENEGAS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3235646464 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
4225 TWEEDY BLVD |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-6217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289616 | Carlos A Venegas | Legal Medicine | 4225 Tweedy Blvd, South Gate, CA 90280-6217 | 2006-01-11 |
| 1740763036 | Anisbel Hornia Silva | General Practice | 4225 Tweedy Blvd, South Gate, CA 90280-6217 | 2018-09-12 |
| 1942488275 | Ronald H Peltz Dpm | Podiatrist | 4225 Tweedy Blvd, South Gate, CA 90280-6217 | 2008-02-08 |
| 1467654590 | Loyola Medical Center A Professional Corporation | Family Medicine | 4225 Tweedy Blvd, South Gate, CA 90280-6217 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396019386 | Vijay Gyan | General Practice | 9845 San Vincente Ave., Apt. 8, South Gate, CA 90280-4840 | 2012-03-08 |
| 1861525016 | Daniel Enayati | General Practice | 3175 E. Firestone Blvd, South Gate, CA 90280-2951 | 2007-03-14 |
| 1841320595 | Taishine Wang | General Practice | 2713 Santa Ana Street, South Gate, CA 90280-2021 | 2007-03-06 |
| 1265572903 | Brookdale Medical Center Inc | General Practice | 2809 Tweedy Blvd, South Gate, CA 90280 | 2007-02-08 |
| 1104931112 | Maria Auxiliadora Medical Group | General Practice | 9401 Long Beach Blvd, South Gate, CA 90280-4144 | 2006-08-20 |
| 1356399919 | Celerina De Borja Medina | General Practice | 4149 Tweedy Boulevard, Ste B, South Gate, CA 90280-6167 | 2006-05-05 |
| 1740763036 | Anisbel Hornia Silva | General Practice | 4225 Tweedy Blvd, South Gate, CA 90280-6217 | 2018-09-12 |
| 1871851717 | Eng W Moy M.d., Inc | General Practice | 4301 Tweedy Blvd, South Gate, CA 90280-6219 | 2012-04-29 |
| 1023271830 | Mission San Juan Medical Clinic | General Practice | 9914 San Juan Ave, South Gate, CA 90280-6108 | 2008-07-02 |
| 1073791828 | La Libertad Medical Clinic Inc | General Practice | 8427 Long Beach Blvd, South Gate, CA 90280-2014 | 2008-02-04 |
| Find all providers in SOUTH GATE | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
Please comment or provide details below to improve the information on LOYOLA FAMILY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.