Active NPI
All Saints Outpatient Center
- Child Intellectual and/or Developmental Disabilities Respite Care
- Lynwood, CA
National Provider Identifier
1972830792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- ALL SAINTS OUTPATIENT CENTER
- Practice address
- 3591 East Imperial Highway
Lynwood, CA 90262-2684 - Phone
- (310) 631-2838
- NPI assigned
- Nov 16, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Adegbenga A Adetola
- Title
- President/Ceo
- Phone
- (310) 631-2822
National Provider Directory
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3591 East Imperial Highway
Lynwood, CA 90262-2684
Mailing address
3591 East Imperial Highway
Lynwood, CA 90262-2684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2009.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258329600000",
"number": "1972830792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3591 EAST IMPERIAL HIGHWAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 EAST IMPERIAL HIGHWAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622684",
"telephone_number": "310-631-2838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL SAINTS OUTPATIENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-16",
"last_updated": "2009-11-16",
"status": "A",
"authorized_official_last_name": "ADETOLA",
"authorized_official_first_name": "ADEGBENGA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "310-631-2822",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.