Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provider Service Network, Inc

Organization Family Medicine Physician · NPI 1336700012

Provider Service Network, Inc provides Family Medicine Physician services in Los Angeles, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 Bailey St Apt 204
Los Angeles, CA 90033-2460
Phone: (323) 264-5000
Fax: (323) 264-5003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1336700012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hector Castillo — Ceo · (323) 264-5000
NPI enumeratedJune 24, 2019
Last updated in NPPESJune 25, 2019
Mailing address212 Bailey St Apt 204, Los Angeles, CA 90033-2460

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