NPI 1053546093
Lighthouse Community Outreach, INC.
Practice location
- Address
- 1968 E 103rd St, Los Angeles, CA 90002-3124
- Phone
- (323) 567-2285
- Fax
- (323) 567-2622
- Mailing address
- 1976 E 103rd St, Los Angeles, CA 90002-3124
Authorised official
- Name
- Shelly Kay Bynum
- Title
- Executuve Director
- Phone
- (323) 401-7600
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1053546093
- Entity type
- Organization
- NPI issued
- 20 May 2009
- Record last updated
- 20 May 2009
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.