Organization
LIGHTHOUSE MEDICAL MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LAWRENCE SMITH DC (ADMINISTRATOR)
(323) 585-3552
Entity
Organization
Contact information
Practice address
6011 PACIFIC BLVD, STE 123, HUNTINGTON PARK, CA 90255-2951
(323) 585-3552
Mailing address
6011 PACIFIC BLVD, STE 123, HUNTINGTON PARK, CA 90255-2951
(323) 585-3552
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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