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

Zacoalco Medical Group Inc

Organization Family Medicine Physician · NPI 1750442836

Zacoalco Medical Group Inc provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

1414 E Florence Ave
Los Angeles, CA 90001
Phone: (323) 588-1383
Fax: (323) 588-2339
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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 · Licence G75144 (CA)

Record details

NPI number1750442836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Menchaca — Medical Director · (323) 588-1383
NPI enumeratedDecember 13, 2006
Last updated in NPPESMarch 9, 2018
Mailing address1414 E Florence Ave, Los Angeles, CA 90001

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