Lifeway Healthcare Services Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A73040 Issued in CA

Legal business name

LIFEWAY HEALTHCARE SERVICES INC.

Practice address

10024 S Vermont Ave
Los Angeles, CA 90044-3112

Phone

(323) 242-3888

Fax

(323) 242-1188

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kingsley O Ofoegbu, M.D.

Title

Ceo

Phone

(323) 242-3888

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Kingsley O Ofoegbu MD Facp Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kingsley O. Ofoegbu, MD, F.a.C.P., Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174821615
  NPD tax ID
• Kingsley Ofoegbu, MD Inc.

  • Family Medicine Physician
  • Inglewood, CA
  • NPI 1720448244
  NPD tax ID

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1629233523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-242-3888",
            "fax_number": "323-242-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10024 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443112",
            "telephone_number": "323-242-3888",
            "fax_number": "323-242-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAY HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "OFOEGBU",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-242-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A730400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285732354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifelong Help, Inc.
• Lifesigns Now (LIFESIGNS, Inc.)
• Lifespan Health Network
• Lifespan Health Network, a Psychology Corporation
• Lifetime Wellness Center, Inc.
• Lisa Liff
• Brooke Erin Lifland
• Eric Lifshitz, M.D.
• Robert Lifson, M.D.
• Lifting the Veil

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.