Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Los Angeles Medical Group Professional Corporation

Organization Family Medicine Physician · NPI 1538095385

South Los Angeles Medical Group Professional Corporation provides Family Medicine Physician services in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

2804 W Florence Ave
Los Angeles, CA 90043-5142
Phone: (323) 807-2980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1538095385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Lopez — Office Manager · (562) 832-6380
NPI enumeratedJune 19, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026
Mailing address2804 W Florence Ave, Los Angeles, CA 90043-5142

Other providers in Los Angeles