Los Angeles LGBT Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LOS ANGELES LGBT CENTER

Doing business as

Los Angeles LGBT Center-WeHo

Practice address

8745 Santa Monica Blvd
2ND Floor
West Hollywood, CA 90069-4507

Phone

(323) 993-7440

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Robyn Goldman

Title

Chief Financial Officer

Phone

(323) 993-8948

Specialties & licenses 1

Addresses

Other names 1

• Los Angeles LGBT Center-WeHo Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 921972

Legal name

LOS ANGELES LGBT CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 16, 2021

Last certification

Jun 16, 2021

Ownership / control type

For profit – corporation

Facility address

8745 Santa Monica Blvd
Los Angeles, CA 90069

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1720451396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 SANTA MONICA BLVD",
            "address_2": "2ND FLOOR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694507",
            "telephone_number": "323-993-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 SANTA MONICA BLVD",
            "address_2": "2ND FLOOR",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694507",
            "telephone_number": "323-993-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES LGBT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "323-993-8948"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles LGBT Center-WeHo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Angeles LGBT Center-WeHo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfred Sangre Lopez Jr., NURSE PRACTITIONER
• Angelena R Lopez, M.D.
• Mark James Lopez
• Christopher Thomas Lopiccolo, MSN, RN, AGACNP-BC
• Los Angeles County Department of Mental Health (Whmet)
• May Lou, M.D.
• Mirjana Lovrincevic, MD
• Sarah Low, RN
• Joseph Lownik
• Xenia Antonio Loyola, LVN

• Primary Care Clinic/Center in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.