Organization Active NPI

Illumination Institute

  • Case Management Agency
  • Fountain Valley, CA
National Provider Identifier
1972341071
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ILLUMINATION INSTITUTE
Practice address
10061 Talbert Ave Ste 345
Fountain Valley, CA 92708-5143
Phone
(714) 626-9121
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Hai Hoang
Title
Coo
Phone
(714) 626-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

10061 Talbert Ave Ste 345
Fountain Valley, CA 92708-5143

Mailing address

10061 Talbert Ave Ste 345
Fountain Valley, CA 92708-5143
Phone (714) 626-9121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1972341071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 345",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085143",
            "telephone_number": "714-626-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE STE 345",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085143",
            "telephone_number": "714-626-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "HAI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "714-626-9120"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.