Organization Active NPI

Iecoc Family Clinic Inc

  • Family Medicine Physician
  • Inglewood, CA
National Provider Identifier
1942160932
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IECOC FAMILY CLINIC INC
Practice address
4701 W Imperial Hwy Ste B
Inglewood, CA 90304-2630
Phone
(818) 514-3631
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antoine TaylorNPI 1205391356
Title
Ceo
Phone
(818) 514-3631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4701 W Imperial Hwy Ste B
Inglewood, CA 90304-2630

Mailing address

4701 W Imperial Hwy Ste B
Inglewood, CA 90304-2630

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2332533Iecoc Family Clinic Inc4701 W Imperial Hwy Suite B, Inglewood, CA 90304Certificate of waiverOct 20, 2027

National Provider Directory

National Provider Directory

Locations

4701 W Imperial Hwy
Ste B
Inglewood, CA 90304
Phone (818) 514-3631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1942160932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W IMPERIAL HWY STE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W IMPERIAL HWY STE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042630",
            "telephone_number": "818-514-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IECOC FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-514-3631"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.