| Yehowa Medical Services | |
|
1039 W Florence Ave Los Angeles CA 90044-2441 | |
| (323) 776-1500 | |
| (855) 777-2289 |
| Full Name | Yehowa Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1039 W Florence Ave, Los Angeles, California |
| Authorized Official Name and Position | Thomas Tweh (CEO) |
| Authorized Official Contact | 3237761500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yehowa Medical Services 24404 Vermont Ave Ste 201 Harbor City CA 90710-2321 Ph: (323) 776-1500 | Yehowa Medical Services 1039 W Florence Ave Los Angeles CA 90044-2441 Ph: (323) 776-1500 |
| NPI Number | 1093095192 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 03/22/2021 |
| Medicare PECOS PAC ID | 6103098124 |
|---|---|
| Medicare Enrollment ID | O20111017000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093095192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Stanislaus Okpako Awariefe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972624021 PECOS PAC ID: 4183781362 Enrollment ID: I20090323000193 |
| Provider Name | Raffi J Ghurabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700014529 PECOS PAC ID: 9436386893 Enrollment ID: I20131211000739 |
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