Organization Active NPI

Lomita Health Management, Inc.

  • Adult Day Care Clinic/Center
  • Harbor City, CA
National Provider Identifier
1093824369
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
06000862 Issued in CA
Legal business name
LOMITA HEALTH MANAGEMENT, INC.
Doing business as
Lomita Adult Day Health Care
Practice address
1234 Lomita Boulevard
Suite E
Harbor City, CA 90710-2147
Phone
(310) 539-4800
Fax
(310) 539-4813
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Mr. Taewoong Kim
Title
Owner/Administrator
Phone
(310) 539-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 06000862 CA Primary

Addresses

Primary practice location

1234 Lomita Boulevard
Suite E
Harbor City, CA 90710-2147

Mailing address

1234 Lomita Boulevard
Suite E
Harbor City, CA 90710-2147
Phone (310) 539-4800

Other identifiers 1

IdentifierTypeStateIssuer
ADU70343FMedicaidCA

Other names 1

  • Lomita Adult Day Health Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1008879Lomita Health Management Inc1234 W Lomita Blvd, Ste E, Harbor City, CA 90710Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

1234 Lomita Blvd
Harbor City, CA 90710

1234 Lomita Blvd
Ste E
Harbor City, CA 90710
Phone (310) 539-4800

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1093824369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 LOMITA BOULEVARD",
            "address_2": "SUITE E",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102147",
            "telephone_number": "310-539-4800",
            "fax_number": "310-539-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 LOMITA BOULEVARD",
            "address_2": "SUITE E",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102147",
            "telephone_number": "310-539-4800",
            "fax_number": "310-539-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMITA HEALTH MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAEWOONG",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "310-539-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "06000862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70343F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lomita Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.