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SOUTH LOS ANGELES MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1538095385
General Practice in Los Angeles, CA

Active since June 19, 2026
2804 W FLORENCE AVE, LOS ANGELES, CA 90043(323) 807-2980 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Los Angeles Medical Group Professional Corporation NPPES

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

SOUTH LOS ANGELES MEDICAL GROUP PROFESSIONAL CORPORATION (NPI 1538095385) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since June 2026. The organization lists Jenny Lopez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1538095385
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH LOS ANGELES MEDICAL GROUP PROFESSIONAL CORPORATION
Location Address2804 W FLORENCE AVELos Angeles, CA 90043-5142
Mailing Address2804 W Florence AveLos Angeles, CA 90043-5142 · (323) 807-2980
Phone(323) 807-2980
Organization SubpartNo
Authorized OfficialJenny LopezOffice Manager · (562) 832-6380
Enumeration DateJune 19, 2026
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1538095385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
2804 W FLORENCE AVE, Los Angeles, CA 90043
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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

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 South Los Angeles Medical Group Professional Corporation's NPI number?

The NPI number for South Los Angeles Medical Group Professional Corporation is 1538095385. It was assigned to this organization in the NPPES registry on June 19, 2026.

Where is South Los Angeles Medical Group Professional Corporation located?

South Los Angeles Medical Group Professional Corporation is located at 2804 W Florence Ave, Los Angeles, CA 90043. The listed phone number is (323) 807-2980.

What is South Los Angeles Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for South Los Angeles Medical Group Professional Corporation was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.