MEDICARE: YEHOWA MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1336960319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YEHOWA MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	2950 COLUMBIA ST
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90503-3806
Country	:	US
Telephone Number	:	323-776-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5720 IMPERIAL HWY.
Second Line	:	N-O
City	:	SOUTH GATE
State	:	CA
Zip	:	90280
Country	:	US
Telephone Number	:	323-776-1500
Fax Number	:	855-777-2289

Authorized Official
Title or Position	:	CEO
Name	:	THOMAS TWEH
Credential	:
Telephone Number	:	323-776-1500

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	03/20/2026

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Directions to “YEHOWA MEDICAL SERVICES ” Practice Location

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