Active NPI
Ebony Group Incorporated
- Case Management Agency
- Los Angeles, CA
National Provider Identifier
1992032213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 3191112
- Legal business name
- EBONY GROUP INCORPORATED
- Practice address
- 522 W 127TH St Ste 313
Los Angeles, CA 90044-7002 - Phone
- (323) 418-1620
- Fax
- (323) 418-1620
- NPI assigned
- Nov 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tony Umunna Ebo
- Title
- Managing Director
- Phone
- (562) 221-9929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 3191112 | CA | Primary |
Addresses
Primary practice location
522 W 127TH St Ste 313
Los Angeles, CA 90044-7002
Mailing address
522 W 127TH St Ste 313
Los Angeles, CA 90044-7002
Phone (323) 418-1620
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257465600000",
"number": "1992032213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W 127TH ST STE 313",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900447002",
"telephone_number": "323-418-1620",
"fax_number": "323-418-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W 127TH ST STE 313",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900447002",
"telephone_number": "323-418-1620",
"fax_number": "323-418-1620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBONY GROUP INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-06",
"last_updated": "2009-11-06",
"status": "A",
"authorized_official_last_name": "EBO",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "UMUNNA",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "562-221-9929",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "3191112",
"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 Nov 6, 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.