Organization Active NPI

La Community Project, Inc.

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1871781179
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
NONE YET Issued in CA
Legal business name
LA COMMUNITY PROJECT, INC.
Practice address
2104 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-2721
Phone
(323) 299-4666
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mr. Noble Debamaka
Title
Executive Director
Phone
(323) 839-5386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NONE YET CA Primary

Addresses

Primary practice location

2104 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-2721

Mailing address

2104 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-2721
Phone (323) 299-4666

National Provider Directory

National Provider Directory

Locations

2104 W Martin Luther King Jr Blvd
Los Angeles, CA 90008
Phone (323) 299-4666

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1871781179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082721",
            "telephone_number": "323-299-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082721",
            "telephone_number": "323-299-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COMMUNITY PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "DEBAMAKA",
        "authorized_official_first_name": "NOBLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-839-5386",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "NONE YET",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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