Fomukong Health Foundation Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2768722 Issued in CA

Legal business name

FOMUKONG HEALTH FOUNDATION INC

Practice address

2355 Westwood Blvd # 332
Los Angeles, CA 90064-2109

Phone

(310) 701-6703

NPI assigned

Feb 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ndika Fomukong, FNP/PAC

Title

Chief Executive Officer

Phone

(310) 701-6703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361577600000",
    "number": "1861732190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD # 332",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109",
            "telephone_number": "310-701-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD # 332",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109",
            "telephone_number": "310-701-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOMUKONG HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-23",
        "last_updated": "2013-02-23",
        "status": "A",
        "authorized_official_last_name": "FOMUKONG",
        "authorized_official_first_name": "NDIKA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-701-6703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP/PAC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "2768722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Antonio Folgar
• Andrew Kenji Folick, M.D.
• Elizabeth Folie
• Christopher Foltz, M.D.
• Ekaterina Fomenko, MD
• Leilani Basilio Fonacier, MAOT, OTR/L
• Gregg Curtis Fonarow, MD
• Andrew Fond, M.D.
• Karen J Fond, NP
• Morgan Lyman Fones, DPT, ATC

• Preferred Provider Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; 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.