Provider Demographics
NPI:1801138698
Name:YEHOWA MEDICAL SERVICES
Entity type:Organization
Organization Name:YEHOWA MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TWEH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:323-776-1500
Mailing Address - Street 1:2950 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-3806
Mailing Address - Country:US
Mailing Address - Phone:323-776-1500
Mailing Address - Fax:
Practice Address - Street 1:5720 IMPERIAL HWY
Practice Address - Street 2:SUITE N-O
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-7518
Practice Address - Country:US
Practice Address - Phone:562-250-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center