Active NPI
Lincoln Heights Family and Industrial Medical Clinic
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1942309497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 13853
- Legal business name
- LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC
- Practice address
- 2409 N Broadway
Los Angeles, CA 90031-2218 - Phone
- (323) 225-8038
- Fax
- (323) 225-2106
- NPI assigned
- Sep 21, 2006
- 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
- Kelly Hong Vo
- Title
- Office Manager
- Phone
- (323) 225-8038
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53847 | CA | |
| Obstetrics Physician | 207VX0000X | A35695 | CA | |
| Pediatrics Physician | 208000000X | A53847 | CA | |
| General Practice Physician | 208D00000X | A33894 | CA | |
| Physician Assistant | 363A00000X | PA 13853 | CA | Primary |
Addresses
Primary practice location
2409 N Broadway
Los Angeles, CA 90031-2218
Mailing address
2409 N Broadway
Los Angeles, CA 90031-2218
Phone (323) 225-8038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0056500 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1942309497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2409 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312218",
"telephone_number": "323-225-8038",
"fax_number": "323-225-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2409 N BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900312218",
"telephone_number": "323-225-8038",
"fax_number": "323-225-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN HEIGHTS FAMILY AND INDUSTRIAL MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-21",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "VO",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "HONG",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "323-225-8038"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A53847",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A35695",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A53847",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A33894",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 13853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0056500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Maria Cristina Linares, MSW, PPSC, LCSW
- Savanah Linares, RN
- Glenda Cruz Linchangco
- Linco Pharmacy, Inc.
- Lincoln Heights Dialysis Center, LLC
- Lincoln Heights Treatment Center, LLC
- Lincoln Heights Treatment Center, LLC
- Lincoln Heights Urgent Care
- Saul Victor Lincoln, MD
- Linda a Thompson, a Psychological Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.