Ladawn Rehabilitation and Behavioral Healthcare Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LADAWN REHABILITATION AND BEHAVIORAL HEALTHCARE SERVICES

Practice address

1229 W 164TH St Apt D
Gardena, CA 90247-4859

Phone

(323) 674-3445

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Blessing OmoruyiNPI 1003632399

Title

Owner

Phone

(323) 674-3445

Specialties & licenses 1

Addresses

Practitioners 1

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

• Blessing Otaniyen Omoruyi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
  • NPI 1003632399
  NPD Authorized official

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1508662339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 W 164TH ST APT D",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474859",
            "telephone_number": "323-674-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W 164TH ST APT D",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474859",
            "telephone_number": "323-674-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADAWN REHABILITATION AND BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "OMORUYI",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-674-3445"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann La, RDH
• Roni Labajo
• Megan Labrado
• Kacie Lackey
• Marianne M Lacoste, MA, ADTR
• Hanna Lagman
• Laibco, LLC
• Kristin Renacia Lajo, NONE
• Madison Lakritz
• Andy Lam

• Psychiatric/Mental Health Nurse Practitioner in Gardena, CA
• Providers in Gardena, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.