NPIMap

Organization Active NPI

Banj Health Center, Inc.

Doing business as Clinica Para La Mujer

  • Primary Care Clinic/Center
  • Lynwood, CA
National Provider Identifier
1679817019
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
960001116 Issued in CA
Legal business name
BANJ HEALTH CENTER, INC.
Doing business as
Clinica Para La Mujer
Practice address
3624 Martin Luther King Jr Blvd
Lynwood, CA 90262-2607
Phone
(424) 785-5164
Fax
(424) 785-8937
NPI assigned
Nov 26, 2012
Organization subpart
Yes
Parent organization
BANJ HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Mrs. Marie Nerlande Lamothe
Title
Executive Director
Phone
(562) 639-4843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 960001116 CA
Primary Care Clinic/Center 261QP2300X 960001116 CA Primary

Addresses

Primary practice location

3624 Martin Luther King Jr Blvd
Lynwood, CA 90262-2607

Mailing address

3624 Martin Luther King Blvd
Lynwood, CA 90262
Phone (424) 785-5164

Other names 1

  • Clinica Para La Mujer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Banj Health Center Inc5 organizations share this tax ID, including this one
Part of
Banj Health Center Inc

Other organizations with this tax ID 4

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

Locations

1850 Poplar Crest Cv
Ste 105
Memphis, TN 38119
Phone (901) 300-3232

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1679817019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 MARTIN LUTHER KING BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "90262",
            "telephone_number": "424-785-5164",
            "fax_number": "424-785-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 MARTIN LUTHER KING JR BLVD",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622607",
            "telephone_number": "424-785-5164",
            "fax_number": "424-785-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANJ HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANJ HEALTH CENTER, INC.",
        "enumeration_date": "2012-11-26",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "LAMOTHE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "NERLANDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-639-4843",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "CA",
            "license": "960001116",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "960001116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Para La Mujer",
            "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 Feb 11, 2014; 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.