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

LA PROVIDENCIA MEDICAL CLINIC
NPI 1609061431
Internal Medicine in Los Angeles, CA

Active since September 14, 2007CLIA 05D0963497 · Waiver
3412 WHITTIER BLVD, LOS ANGELES, CA 90023(323) 264-4006(323) 264-4052 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About La Providencia Medical Clinic NPPES

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

LA PROVIDENCIA MEDICAL CLINIC (NPI 1609061431) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Samuel Wosk, Director, as its authorized official.

NPPES Registry Identity

NPI1609061431
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLA PROVIDENCIA MEDICAL CLINIC
Location Address3412 WHITTIER BLVDLos Angeles, CA 90023
Mailing Address3412 Whittier BlvdLos Angeles, CA 90023 · (323) 264-4006 · Fax (323) 264-4052
Phone(323) 264-4006
Fax(323) 264-4052
Organization SubpartNo
Authorized OfficialSamuel WoskDirector · (323) 264-4006
Enumeration DateSeptember 14, 2007
✔ NPI 1609061431 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.
3412 WHITTIER BLVD, Los Angeles, CA 90023
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

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 05D0963497

La Providencia Medical Clinic · Los Angeles, CA
Active · expires Jul 29, 2027
CLIA Number05D0963497
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorSamuel R. Wosk MD
Laboratory Phone(323) 264-4006
Laboratory LocationLa Providencia Medical Clinic3412 Whittier Blvd, Los Angeles, CA 90023
CLIA data matches this NPI record on: Address 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.

SAMUEL R WOSK M.D.
Internal Medicine
3412 WHITTIER BLVD
LOS ANGELES, CA 90023
Los Angeles County (323) 264-4006

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 La Providencia Medical Clinic's NPI number?

The NPI number for La Providencia Medical Clinic is 1609061431. It was assigned to this organization in the NPPES registry on September 14, 2007.

Where is La Providencia Medical Clinic located?

La Providencia Medical Clinic is located at 3412 Whittier Blvd, Los Angeles, CA 90023. The listed phone number is (323) 264-4006.

What is La Providencia Medical Clinic's specialty?

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

Does La Providencia Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0963497) is associated with this NPI, valid through July 29, 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 La Providencia Medical Clinic was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.