1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

PROVIDER SERVICE NETWORK, INC
NPI 1336700012
Family Medicine in Los Angeles, CA

Active since June 24, 2019
212 BAILEY ST APT 204, LOS ANGELES, CA 90033(323) 264-5000(323) 264-5003 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Provider Service Network, Inc NPPES

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

PROVIDER SERVICE NETWORK, INC (NPI 1336700012) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since June 2019. The organization lists Hector Raphael Castillo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336700012
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDER SERVICE NETWORK, INC
Location Address212 BAILEY ST APT 204Los Angeles, CA 90033-2460
Mailing Address212 Bailey St Apt 204Los Angeles, CA 90033-2460 · (323) 264-5000 · Fax (323) 264-5003
Phone(323) 264-5000
Fax(323) 264-5003
Organization SubpartNo
Authorized OfficialHector Raphael CastilloCeo · (323) 264-5000
Enumeration DateJune 24, 2019
Last NPPES UpdateJune 25, 2019
✔ NPI 1336700012 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.
212 BAILEY ST APT 204, Los Angeles, CA 90033
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

JOSE RAUL HERNANDEZ FNP
Nurse Practitioner (Family)
212 BAILEY ST APT 204
LOS ANGELES, CA 90033
Los Angeles County (954) 923-7440
HSIN-YU WU NP-C
Nurse Practitioner (Adult Health)
212 BAILEY ST APT 204
LOS ANGELES, CA 90033
Los Angeles County (626) 390-2585
RAFFY SALUD SOMERA APRN
Nurse Practitioner (Family)
212 BAILEY ST APT 204
LOS ANGELES, CA 90033
Los Angeles County (954) 923-7440
MRS. VANESSA MARIE MORRIS PA-C
Physician Assistant
212 BAILEY ST APT 204
LOS ANGELES, CA 90033
Los Angeles County (954) 923-7440

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 Provider Service Network, Inc's NPI number?

The NPI number for Provider Service Network, Inc is 1336700012. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is Provider Service Network, Inc located?

Provider Service Network, Inc is located at 212 Bailey St Apt 204, Los Angeles, CA 90033. The listed phone number is (323) 264-5000.

What is Provider Service Network, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Provider Service Network, Inc was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.