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Organization
LIFE HEALTH CARE GROUP, INC.
Active
Organization
LIFE HEALTH CARE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO TIONGSON ENRILE M.D. (PRESIDENT)
(818) 989-9700
Entity
Organization
Contact information
Practice address
14540 VICTORY BLVD, STE 100, VAN NUYS, CA 91411-1600
(818) 989-9700
(818) 989-9705
Mailing address
14540 VICTORY BLVD, STE 100, VAN NUYS, CA 91411-1600
(818) 989-9700
(818) 989-9705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A29539
CA
208D00000X
General Practice Physician
Primary
A29539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A29539
LICENSE
CA
Enumeration date
10/27/2006
Last updated
09/11/2025
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