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

South Los Angeles Medical Group Professional Corporation

Organization Neurology Physician · NPI 1538095385

South Los Angeles Medical Group Professional Corporation is a Neurology Physician 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

General Practice Physician (primary) Taxonomy 208D00000X
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 NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address2804 W Florence Ave, Los Angeles, CA 90043-5142

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