Organization
THE LIGHT FOR SENIORS, INC.
Active
Other names
Light Source Insurance Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J COSTA-SMITH (PRESIDENT/CEO)
(858) 751-0752
Entity
Organization
Contact information
Practice address
3405 KENYON ST STE 301, SAN DIEGO, CA 92110-5007
(858) 751-0752
(888) 308-9223
Mailing address
3405 KENYON ST STE 301, SAN DIEGO, CA 92110-5007
(858) 751-0752
(888) 308-9223
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790423580
—
CA
Enumeration date
05/23/2022
Last updated
08/18/2025
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