Lakewood Residential Care, LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

LAKEWOOD RESIDENTIAL CARE, LLC

Practice address

12045 Lakewood Blvd
Downey, CA 90242-2635

Phone

(562) 923-4417

Fax

(562) 923-3167

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Adam Zenou

Title

Manager

Phone

(310) 857-8218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1851803431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12045 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422635",
            "telephone_number": "562-923-4417",
            "fax_number": "562-923-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422635",
            "telephone_number": "562-923-4417",
            "fax_number": "562-923-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "ZENOU",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-857-8218"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Lagunas, PA-C
• Jonathan Lai, PHARMD
• Suzanne Lai, OTD, OTR/L
• Ya-Hui Lai, DDS
• Heather Laird, PSYD MFT, LMFT
• Eunice Yetunde Lala
• Danny D Lam
• Han Kiet Lam, MD
• Tiffany W Lam, OTD, OTR/L
• Renee Landacre

• Physical Disabilities Residential Treatment Facility in Downey, CA
• Providers in Downey, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.