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BENEVOLENCE INDUSTRIES INCORPORATED
NPI 1083498869
Family Medicine in Los Angeles, CA

Active since August 22, 2023CLIA 05D1066931 · Waiver
6425 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 732-0100 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Benevolence Industries Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENEVOLENCE INDUSTRIES INCORPORATED (NPI 1083498869) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Godfred Danquah, Compliance, as its authorized official.

NPPES Registry Identity

NPI1083498869
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBENEVOLENCE INDUSTRIES INCORPORATED
Location Address6425 WHITTIER BLVDLos Angeles, CA 90022-4603
Mailing Address1010 Crenshaw Blvd Ste 100Torrance, CA 90501-2055 · (323) 732-0100
Phone(323) 732-0100
Organization SubpartNo
Authorized OfficialGodfred DanquahCompliance · (323) 732-0100
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1083498869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6425 WHITTIER BLVD, Los Angeles, CA 90022
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1066931

Benevolence Industries Incorporated Dba Central Medical Clinic · Los Angeles, CA
Active · expires Apr 4, 2027
CLIA Number05D1066931
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorDr. Ron Javdan
Laboratory Phone(323) 732-0100
Laboratory LocationBenevolence Industries Incorporated Dba Central Medical Clinic3533 W Pico Blvd, Los Angeles, CA 90019
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMANUEL MOJTAHEDIAN, M.D., INC.
Clinic/Center (Health Service)
6425 WHITTIER BLVD
LOS ANGELES, CA 90022
Los Angeles County (323) 728-0101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benevolence Industries Incorporated's NPI number?

The NPI number for Benevolence Industries Incorporated is 1083498869. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Benevolence Industries Incorporated located?

Benevolence Industries Incorporated is located at 6425 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (323) 732-0100.

What is Benevolence Industries Incorporated's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Benevolence Industries Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1066931) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Benevolence Industries Incorporated was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.