Active NPI
Yehowa Medical Services
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
National Provider Identifier
1700211703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- YEHOWA MEDICAL SERVICES
- Practice address
- 11502 S Vermont Ave Ste C
Los Angeles, CA 90044-6522 - Phone
- (323) 776-1050
- Fax
- (855) 777-2289
- NPI assigned
- Sep 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Tweh Jr.
- Title
- Ceo
- Phone
- (323) 776-1500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
11502 S Vermont Ave Ste C
Los Angeles, CA 90044-6522
Mailing address
24404 Vermont Ave Ste 201
Harbor City, CA 90710-2321
Phone (323) 776-1500
Other names 1
- VERMONT COMMUNITY CLINIC
National Provider Directory
National Provider DirectoryLocations
5320 S Vermont Ave
Los Angeles, CA 90037
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1972624021
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1700014529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1700211703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24404 VERMONT AVE STE 201",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907102321",
"telephone_number": "323-776-1500",
"fax_number": "855-777-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11502 S VERMONT AVE STE C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900446522",
"telephone_number": "323-776-1050",
"fax_number": "855-777-2289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YEHOWA MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-09",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "TWEH",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-776-1500",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VERMONT COMMUNITY CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VERMONT COMMUNITY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.