Active NPI
Lomita Health Management, Inc.
- Adult Day Care Clinic/Center
- Harbor City, CA
National Provider Identifier
1093824369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 06000862
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70343F | Medicaid | CA |
Other names 1
- Lomita Adult Day Health Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1008879 | Lomita Health Management Inc | Certificate of waiver | Jan 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.