# LIGHTHOUSE OF LA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871772251
- **Authorized official:** MR. JUDE NJOKU MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 908-3641

## Contact information

- **Practice address:** 2930 W IMPERIAL HWY, SUITE 200M, INGLEWOOD, CA 90303-3143
- **Practice address phone:** (310) 630-5820
- **Mailing address:** 2930 W IMPERIAL HIGHWAY, SUITE 200M, INGLEWOOD, CA 90303-3142
- **Mailing address phone:** (310) 630-5820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | NONE YET | CA | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/01/2007
