Organization
COMMUNITY INSURANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON LAMOREAUX (HEALTH PLAN PRESIDENT)
(502) 619-6810
Entity
Organization
Contact information
Practice address
8940 LYRA DR, COLUMBUS, OH 43240-2293
(502) 619-6810
Mailing address
21215 BURBANK BLVD STE 100, WOODLAND HILLS, CA 91367-7091
(888) 716-5186
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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