OrganizationActive
La Providencia Ipa, Inc.
NPI 1760906507 · Internal Medicine Physician · Baldwin Park, CA
Provider details
- NPI number
- 1760906507
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Wosk, Secretary(562) 463-0172
- License
- 71133 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone: (562) 463-0172
Street-level locationGet directions
Mailing address
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
Registry dates
- Enumerated
- 2017-08-02
- Last updated
- 2017-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.