NPI 1043956394
Gem Initiative
Practice location
- Address
- 700 E 80th St, Los Angeles, CA 90001-3210
- Phone
- (310) 720-7165
- Mailing address
- 300 Long Beach Blvd Unit 21139, Long Beach, CA 90801-7168
Authorised official
- Name
- Sophesias Johnson
- Title
- Administrator/Ow ER
- Phone
- (310) 749-5563
Registered specialties (12)
Respite Care
Primary
Meals Provider
Lodging Provider
Community Based Hospice Care Agency
Nursing Care Agency
PACE Provider Organization
Assisted Living Facility
Mental Illness Intermediate Care Facility
Custodial Care Facility
Adult Care Home Facility
Physical Disabilities Residential Treatment Facility
Private Vehicle
Registry record
- NPI
- 1043956394
- Entity type
- Organization
- NPI issued
- 10 May 2022
- Record last updated
- 17 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.