Organization
YORK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA HEIFETS MD (OWNER/MD)
(323) 256-1556
Entity
Organization
Contact information
Practice address
6027 YORK BLVD, LOS ANGELES, CA 90042-3503
(323) 256-1556
(323) 256-1836
Mailing address
6027 YORK BLVD, LOS ANGELES, CA 90042-3503
(323) 256-1556
(323) 256-1836
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A40429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A404290
—
CA
Enumeration date
10/09/2006
Last updated
08/22/2020
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