Provider Demographics
NPI:1497299705
Name:YEHOWA MEDICAL SERVICES
Entity Type:Organization
Organization Name:YEHOWA MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TWEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-776-1500
Mailing Address - Street 1:454 E CARSON PLAZA DR
Mailing Address - Street 2:211
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3209
Mailing Address - Country:US
Mailing Address - Phone:323-776-1500
Mailing Address - Fax:
Practice Address - Street 1:454 E CARSON PLAZA DR
Practice Address - Street 2:211
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3209
Practice Address - Country:US
Practice Address - Phone:323-776-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty