Organization
LIGHTHOUSE OF LA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDE NJOKU MBA (EXECUTIVE DIRECTOR)
(310) 908-3641
Entity
Organization
Contact information
Practice address
2930 W IMPERIAL HWY, SUITE 200M, INGLEWOOD, CA 90303-3143
(310) 630-5820
Mailing address
2930 W IMPERIAL HIGHWAY, SUITE 200M, INGLEWOOD, CA 90303-3142
(310) 630-5820
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NONE YET
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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