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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us