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

San Judas Tadeo Medical Group, Inc

Organization Family Medicine Physician · NPI 1417558842

San Judas Tadeo Medical Group, Inc is a Family Medicine Physician in Inglewood, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
5
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

1000 S La Brea Ave Ste 2
Inglewood, CA 90301-3869
Phone: (310) 330-4818
Fax: (310) 330-4822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1417558842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rommel Gonzalez — Medical Director · (323) 821-4386
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateOctober 30, 2020
Mailing address1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869

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