NPIMap

Organization Active NPI

Eastfield Ming Quong Inc.

Doing business as Hollygrove

  • Community/Behavioral Health Agency
  • Lynwood, CA
National Provider Identifier
1629248315
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EASTFIELD MING QUONG INC.
Doing business as
Hollygrove
Practice address
3737 Martin Luther King Jr Blvd
Suite 500
Lynwood, CA 90262-3513
Phone
(323) 463-2119
Fax
(323) 463-7033
NPI assigned
Mar 10, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Martine Singer
Title
Executive Director
Phone
(323) 769-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

3737 Martin Luther King Jr Blvd
Suite 500
Lynwood, CA 90262-3513

Mailing address

3737 Martin Luther King Jr Blvd
Suite 500
Lynwood, CA 90262-3513
Phone (323) 463-2119

Other names 1

  • Hollygrove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastfield Ming Quong7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1629248315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 500",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "323-463-2119",
            "fax_number": "323-463-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 500",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623513",
            "telephone_number": "323-463-2119",
            "fax_number": "323-463-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTFIELD MING QUONG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-769-7100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollygrove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.