Ladera Education Institute

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LADERA EDUCATION INSTITUTE

Practice address

601 Grace Ave
Inglewood, CA 90301-1306

Phone

(310) 641-0870

Fax

(310) 641-8476

NPI assigned

Mar 25, 2019

Last updated

Apr 11, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CASA LADERAAs reported in NPPES

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

Authorized official

Name

Paul F Radke

Title

Treasurer

Phone

(310) 641-0870

Specialties & licenses 1

Addresses

Part of

Ladera Education Institute

Locations

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1730649674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRACE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011306",
            "telephone_number": "310-641-0870",
            "fax_number": "310-641-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRACE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011306",
            "telephone_number": "310-641-0870",
            "fax_number": "310-641-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA EDUCATION INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASA LADERA",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "RADKE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "310-641-0870"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ladera Education Institute
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• Lara Lai
• Ana Laidley, LMFT
• Jorjana-Louisa Buencamino Lam, RN
• Danielle Renee Lancon, MSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.