NPIMap

Organization Active NPI

Sunkwa Community Foundation

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1467873265
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A82463 Issued in CA
Legal business name
SUNKWA COMMUNITY FOUNDATION
Practice address
11905 S Central Ave
Suite 100
Los Angeles, CA 90059-2897
Phone
(323) 476-1316
Fax
(323) 476-1317
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Authorized official

Name
Donwilliam Yeboah, CNA
Title
Owner/Operator
Phone
(323) 476-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A82463 CA Primary

Addresses

Primary practice location

11905 S Central Ave
Suite 100
Los Angeles, CA 90059-2897

Mailing address

11905 S Central Ave
Suite 100
Los Angeles, CA 90059-2897
Phone (323) 476-1316

Other names 1

  • LifeLine community Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1467873265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 S CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592897",
            "telephone_number": "323-476-1316",
            "fax_number": "323-476-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 S CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592897",
            "telephone_number": "323-476-1316",
            "fax_number": "323-476-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNKWA COMMUNITY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "YEBOAH",
        "authorized_official_first_name": "DONWILLIAM",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "323-476-1316",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A82463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLine community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.