Lighthouse of la Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

NONE YET Issued in CA

Legal business name

LIGHTHOUSE OF LA INC.

Practice address

2930 W Imperial Hwy
Suite 200M
Inglewood, CA 90303-3143

Phone

(310) 630-5820

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jude Njoku, MBA

Title

Executive Director

Phone

(310) 908-3641

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1871772251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HIGHWAY",
            "address_2": "SUITE 200M",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033142",
            "telephone_number": "310-630-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "address_2": "SUITE 200M",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "310-630-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE OF LA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-908-3641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "NONE YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.