LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION
NPI 1760947451
General Practice in South Gate, CA

Q: What is Loyola Family Health Center Professional Corporation's specialty?

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

Active since February 06, 2019CLIA 05D2177339 · Waiver

4225 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 564-6464(323) 564-8578 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2020, Feb 12, 2019, Feb 6, 2019 (3 updates tracked since 2019).

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About Loyola Family Health Center Professional Corporation NPPES

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

LOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION (NPI 1760947451) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Alejandro Lazaro Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1760947451

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLOYOLA FAMILY HEALTH CENTER PROFESSIONAL CORPORATION

Location Address4225 TWEEDY BLVDSouth Gate, CA 90280-6217

Mailing Address4225 Tweedy Blvd Ste BSouth Gate, CA 90280-6217 · (323) 564-6464 · Fax (323) 564-8578

Phone(323) 564-6464

Fax(323) 564-8578

Organization SubpartNo

Authorized OfficialAlejandro Lazaro GonzalezOwner · (626) 664-1279

Enumeration DateFebruary 6, 2019

Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration

NPPES CertifiedDecember 1, 2020

✔ NPI 1760947451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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

4225 TWEEDY BLVD, South Gate, CA 90280

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 05D2177339

Loyola Family Health Center Loyola Family Health Ctr, Professional Corp · South Gate, CA

Active · expires Jan 7, 2028

CLIA Number05D2177339

Laboratory TypePhysician Office

Certificate Effective DateJanuary 8, 2026

Certificate Expiration DateJanuary 7, 2028

Laboratory DirectorAlejandro L. Gonzales

Laboratory Phone(626) 664-1279

Laboratory LocationLoyola Family Health Center Loyola Family Health Ctr, Professional Corp4225 Tweedy Blvd Suite B, South Gate, CA 90280

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

STEVE IM MD. PAIN MANAGEMENT, INC.

Pain Medicine (Interventional Pain Medicine)