# LIFE HEALTH CARE GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033295522
- **Authorized official:** DR. FERNANDO TIONGSON ENRILE M.D. (PRESIDENT)
- **Authorized official phone:** (818) 989-9700

## Contact information

- **Practice address:** 14540 VICTORY BLVD, STE 100, VAN NUYS, CA 91411-1600
- **Practice address phone:** (818) 989-9700
- **Practice address fax:** (818) 989-9705
- **Mailing address:** 14540 VICTORY BLVD, STE 100, VAN NUYS, CA 91411-1600
- **Mailing address phone:** (818) 989-9700
- **Mailing address fax:** (818) 989-9705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A29539 | CA | — |
| 208D00000X | General Practice Physician | A29539 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A29539 | LICENSE | CA |