Lighthouse Community Outreach, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

LIGHTHOUSE COMMUNITY OUTREACH, INC.

Practice address

1968 E 103Rd St
Los Angeles, CA 90002-3124

Phone

(323) 567-2285

Fax

(323) 567-2622

NPI assigned

May 20, 2009

Last updated

May 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shelly Kay Bynum

Title

Executuve Director

Phone

(323) 401-7600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1053546093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 E 103RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023124",
            "telephone_number": "323-567-2285",
            "fax_number": "323-567-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 E 103RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023124",
            "telephone_number": "323-567-2285",
            "fax_number": "323-567-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE COMMUNITY OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTUVE DIRECTOR",
        "authorized_official_telephone_number": "323-401-7600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nava Light
• Stacey Renee Light
• Darnelle Lightbourne
• Nina Rachel Lightdale, M.D.
• Nicole Lightfoot, M.A.
• Lighthouse Healthcare Center, LLC (Lighthouse Healthcare Center)
• Kimberly Ligon, M.S.
• Evangelina Ligons, LCSW
• Michael Lii
• Adriana Liimakka

• Health Maintenance Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.