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ODETTE R TAWADROUS MEDICAL CLINIC INC.
NPI 1558717165
Internal Medicine in Lynwood, CA

Active since May 12, 2016
3625 MARTIN LUTHER KING JR BLVD STE 10, LYNWOOD, CA 90262(310) 223-1429(310) 223-1432 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Odette R Tawadrous Medical Clinic Inc. NPPES

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

ODETTE R TAWADROUS MEDICAL CLINIC INC. (NPI 1558717165) is a healthcare organization registered as an internal medicine in Lynwood, California and active in the NPI registry since May 2016. The organization lists Odette R Tawadrous, President, as its authorized official.

NPPES Registry Identity

NPI1558717165
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameODETTE R TAWADROUS MEDICAL CLINIC INC.
Location Address3625 MARTIN LUTHER KING JR BLVD STE 10Lynwood, CA 90262-3509
Mailing AddressPo Box 1018Artesia, CA 90702-1018 · (310) 223-1429 · Fax (310) 223-1432
Phone(310) 223-1429
Fax(310) 223-1432
Organization SubpartNo
Authorized OfficialOdette R TawadrousPresident · (310) 223-1429
Enumeration DateMay 12, 2016
✔ NPI 1558717165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3625 MARTIN LUTHER KING JR BLVD STE 10, Lynwood, CA 90262
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odette R Tawadrous Medical Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Odette R Tawadrous Medical Clinic Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Odette Tawadrous, MD
Internal Medicine
NPI 1669661492
3625 MARTIN LUTHER KING JR BLVD STE 10
Lynwood, CA 90262
(562) 841-1602
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Odette R Tawadrous Medical Clinic Inc.'s NPI number?

The NPI number for Odette R Tawadrous Medical Clinic Inc. is 1558717165. It was assigned to this organization in the NPPES registry on May 12, 2016.

Where is Odette R Tawadrous Medical Clinic Inc. located?

Odette R Tawadrous Medical Clinic Inc. is located at 3625 Martin Luther King Jr Blvd Ste 10, Lynwood, CA 90262. The listed phone number is (310) 223-1429.

What is Odette R Tawadrous Medical Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Odette R Tawadrous Medical Clinic Inc. enrolled in Medicare?

Yes. Odette R Tawadrous Medical Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odette R Tawadrous Medical Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Odette R Tawadrous Medical Clinic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Odette R Tawadrous Medical Clinic Inc. was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.