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

La Providencia IPA, Inc

Organization Family Medicine Physician · NPI 1760906507

La Providencia IPA, Inc is a Family Medicine Physician in Baldwin Park, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
3
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

14342 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone: (562) 463-0172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 56374 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 71133 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 45086 (CA)

Record details

NPI number1760906507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wosk — Secretary · (562) 463-0172
NPI enumeratedAugust 2, 2017
Last updated in NPPESOctober 26, 2017
Mailing address14342 Ramona Blvd, Baldwin Park, CA 91706-3241

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