Loyola Medical Center A Professional Corporation
LBN: Loyola Medical Center A Professional Corporation
Loyola Medical Center A Professional Corporation is an health care organization with primary practice located at 4225 Tweedy Blvd , South Gate CA 90280-6217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Loyola Medical Center A Professional Corporation can be contacted via phone (323) 564-6464, or through Venegas, Carlos A via phone (323) 564-6464.
Contact Information
Primary practice address
4225 Tweedy Blvd
South Gate CA 90280-6217
Phone: (323) 564-6464
Fax: (323) 564-8578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A39370 | California |
Profile Details
| NPI number | 1467654590 |
|---|---|
| LBN Legal business name | Loyola Medical Center A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Venegas, Carlos A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2007 |
| Last updated | Feb 7th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467654590 | NPPES |
| California | MEDICAID | 00A393700 |
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