Lighthouse General Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A9943 Issued in CA

Legal business name

LIGHTHOUSE GENERAL PEDIATRICS

Practice address

3661 Torrance Blvd
Suite 104
Torrance, CA 90503-4812

Phone

(310) 953-0020

Fax

(310) 953-0019

NPI assigned

Feb 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Talaat Elias, D.O.NPI 1871755629

Title

Director

Phone

(310) 953-0020

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Pediatrics Doing business as

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Talaat Elias, D.O.

  • Pediatric Adolescent Medicine Physician
  • Torrance, CA
  • NPI 1871755629
  NPD (past) Authorized official
• Mina H Hakim, MD

  • Pediatrics Physician
  • Torrance, CA
  • NPI 1598106213
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1285931329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD",
            "address_2": "SUITE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034812",
            "telephone_number": "310-953-0020",
            "fax_number": "310-953-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD",
            "address_2": "SUITE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034812",
            "telephone_number": "310-953-0020",
            "fax_number": "310-953-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE GENERAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "TALAAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-953-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A9943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eric James Liggins, PHARMD, MBA, BCPS
• Kourtney Ethel Liggins
• Andrea J Lim, D.M.D.
• Andrew Yoo Seung Lim, M.D.
• Daniel Dae Lim, L.AC.
• Eric Kwan Woo Lim
• Erika C Lim

• Pediatrics Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.