Healthcare Provider Details

I. General information

NPI: 1205765948
Provider Name (Legal Business Name): YEHOWA MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 IMPERIAL HWY STE N-O
SOUTH GATE CA
90280-7518
US

IV. Provider business mailing address

2950 COLUMBIA ST
TORRANCE CA
90503-3806
US

V. Phone/Fax

Practice location:
  • Phone: 323-776-1500
  • Fax: 855-777-2289
Mailing address:
  • Phone: 323-776-1500
  • Fax: 855-777-2289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: THOMAS TWEH
Title or Position: CEO
Credential: CEO
Phone: 323-776-1500