Lighthouse Medical Management, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIGHTHOUSE MEDICAL MANAGEMENT, INC

Practice address

6011 Pacific Blvd
Ste 123
Huntington Park, CA 90255-2951

Phone

(323) 585-3552

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Lawrence Smith, DC

Title

Administrator

Phone

(323) 585-3552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1780089425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 PACIFIC BLVD",
            "address_2": "STE 123",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552951",
            "telephone_number": "323-585-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 PACIFIC BLVD",
            "address_2": "STE 123",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552951",
            "telephone_number": "323-585-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MEDICAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-585-3552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Byunghak Lee, RPH
• Estela Lemus, NP-BC
• Grace Leon
• Sarai Leon, RN
• Kerry Ellen Leonard, LPT, CPRP
• Lili Mirtorabi D.D.S., a Professional Corporation
• Gustavo Limas
• Dianne Lin
• Erica Stacy Linares, SLPA
• Tracy Little

• Clinic/Center in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.