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

Primary Care Health Clinic

Organization Family Medicine Physician · NPI 1891134268

Primary Care Health Clinic is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
5
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1601 W Washington Blvd
Los Angeles, CA 90007-1116
Phone: (310) 701-6703
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34954 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34954 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 34954 (CA)
Gynecology Physician Taxonomy 207VG0400X · Licence 34954 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 34954 (CA)

Record details

NPI number1891134268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ndika Fomukong — Ceo · (310) 701-6703
NPI enumeratedJune 19, 2013
Last updated in NPPESJanuary 13, 2016
Mailing address1601 W Washington Blvd, Los Angeles, CA 90007-1116

Other providers in Los Angeles