MEDICARE: YORK MEDICAL GROUP

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	208D00000X	General Practice Physician	A40429	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508953563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YORK MEDICAL GROUP

Provider Business Mailing Address
First Line	:	6027 YORK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-3503
Country	:	US
Telephone Number	:	323-256-1556
Fax Number	:	323-256-1836

Provider Business Practice Location Address
First Line	:	6027 YORK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-3503
Country	:	US
Telephone Number	:	323-256-1556
Fax Number	:	323-256-1836

Authorized Official
Title or Position	:	OWNER/MD
Name	:	RAISA HEIFETS
Credential	:	MD
Telephone Number	:	323-256-1556

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1033208269 — RAISA HEIFETS MD
Practice Location Address:

6027 YORK BLVD
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90042-3503

Practice Phone: 323-256-1556
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1891056347 — YORK HEALTHCARE & WELLNESS CENTRE, LP
Practice Location Address:

6071 YORK BLVD
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90042-3503

Practice Phone: 323-254-3407
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1366832792 — MS. NANCY CARR COTA
Practice Location Address:

6071 YORK BLVD
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90042-3503

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Practice Fax:

1124027677 — AMBERWOOD CONVALESCENT HOSPITAL INC
Practice Location Address:

6071 YORK BLVD
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90042-3503

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1447337118 — GEORGE JIA-CHI WANG P.A.
Practice Location Address:

2011 WILSHIRE BLVD STE 300
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Practice Phone: 213-413-2700
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1508886920 — RAJIV BUDDEN MD
Practice Location Address:

1920 E LOS ANGELES AVE
SIMI VALLEY, CA
93065-3503

Practice Phone: 805-306-8800
Practice Fax: 805-306-8818

Directions to “YORK MEDICAL GROUP ” Practice Location

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