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CROWN CITY MEDICAL GROUP, INC.
NPI 1962525964
Family Medicine in Los Angeles, CA

Active since April 06, 2007
1542 E FLORENCE AVE, LOS ANGELES, CA 90001(323) 584-0222(626) 296-1403 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crown City Medical Group, Inc. NPPES

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

CROWN CITY MEDICAL GROUP, INC. (NPI 1962525964) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Kevin B. Tyson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1962525964
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROWN CITY MEDICAL GROUP, INC.
Location Address1542 E FLORENCE AVELos Angeles, CA 90001-2536
Mailing Address1542 E Florence AveLos Angeles, CA 90001-2536 · (323) 584-0222 · Fax (626) 296-1403
Phone(323) 584-0222
Fax(626) 296-1403
Organization SubpartNo
Authorized OfficialKevin B. TysonMedical Director · (626) 798-8792
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 28, 2014
✔ NPI 1962525964 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.
1542 E FLORENCE AVE, Los Angeles, CA 90001
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Other Identifiers 2

Medicare ID-Type UnspecifiedW12163CA
OtherGR0041813CA · Medi-cal Provider #

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

Other Providers at the Same Location NPPES 3

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

ALBERTO Y ENCINA MD
Family Medicine
1542 E FLORENCE AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 584-0222
PACITA B NEUMANN M.D.
General Practice
1542 E FLORENCE AVE
LOS ANGELES, CA 90001
Los Angeles County (323) 584-0222
HOA TRAN LY NP
Nurse Practitioner
1542 E FLORENCE AVE
LOS ANGELES, CA 90001
Los Angeles County (888) 499-9303

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 Crown City Medical Group, Inc.'s NPI number?

The NPI number for Crown City Medical Group, Inc. is 1962525964. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Crown City Medical Group, Inc. located?

Crown City Medical Group, Inc. is located at 1542 E Florence Ave, Los Angeles, CA 90001. The listed phone number is (323) 584-0222.

What is Crown City Medical Group, 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 Crown City Medical Group, Inc. was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.