Active NPI
Love and Respect Youth Foundation
- Counselor
- Los Angeles, CA
National Provider Identifier
1992967129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- LOVE AND RESPECT YOUTH FOUNDATION
- Practice address
- 4728 S Western Ave
Los Angeles, CA 90062-2320 - Phone
- (323) 293-7388
- Fax
- (323) 293-7805
- NPI assigned
- Jun 30, 2008
- 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
- Ms. Koresha Babette Bell
- Title
- Agent of Record
- Phone
- (323) 293-7805
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CA | Primary | |
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | CA |
Addresses
Primary practice location
4728 S Western Ave
Los Angeles, CA 90062-2320
Mailing address
4728 S Western Ave
Los Angeles, CA 90062-2320
Phone (323) 293-7388
National Provider Directory
National Provider DirectoryLocations
4728 S Western Ave
Los Angeles, CA 90062
Phone (323) 293-7388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1992967129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900622320",
"telephone_number": "323-293-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4728 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900622320",
"telephone_number": "323-293-7388",
"fax_number": "323-293-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE AND RESPECT YOUTH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "KORESHA",
"authorized_official_middle_name": "BABETTE",
"authorized_official_title_or_position": "AGENT OF RECORD",
"authorized_official_telephone_number": "323-293-7805",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": null,
"primary": false
}
],
"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 Sep 24, 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.