Luis G Cendana

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LUIS G CENDANA

Doing business as

K AND S GROUP HOME 1

Practice address

1503 254TH St
Harbor City, CA 90710-2716

Phone

(310) 326-0374

Fax

(310) 517-4843

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Divina Pasaporte Cendana

Title

Owner

Phone

(310) 634-9251

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• K AND S GROUP HOME 1 Doing business as

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1942397161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 254TH ST",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102716",
            "telephone_number": "310-326-0374",
            "fax_number": "310-517-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 254TH ST",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102716",
            "telephone_number": "310-326-0374",
            "fax_number": "310-517-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS G CENDANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CENDANA",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_middle_name": "PASAPORTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-634-9251"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320600000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "K AND S GROUP HOME 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raenisha Danyeil Love, LCSW
• Leslie A Low, DPM
• Cristeta L. Lozon, MD
• Catherine Lu, L.AC
• Julianne Flores Lucia, LCSW
• Taryn Lum, AUD
• Melissa Ly, MS, CCC-SLP
• Irene R. Ma, MD
• Nancy H Ma, PHARM.D
• Carrie Madden, PHARM D

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.