LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION is a general practice in South Gate, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION NPI is 1760947451. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4225 TWEEDY BLVD
SOUTH GATE, CA
ZIP 90280-217
Phone: (323) 564-6464
Fax: (323) 564-8578
The provider's authorized official is Alejandro Lazaro Gonzalez .
The authorized official title is Owner and has the following contact phone number (626) 664-1279.
The CLIA number assigned to this NPI record is 05D2177339 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/6/2019 and was last updated on 12/1/2020.