Provider Demographics
NPI:1568838100
Name:LMPG FOUNDATION, LLC
Entity Type:Organization
Organization Name:LMPG FOUNDATION, LLC
Other - Org Name:HILLSMAN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:YONG
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-231-2585
Mailing Address - Street 1:1440 E 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90011-3304
Mailing Address - Country:US
Mailing Address - Phone:323-231-2585
Mailing Address - Fax:323-231-8771
Practice Address - Street 1:1440 E 41ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-3304
Practice Address - Country:US
Practice Address - Phone:323-231-2585
Practice Address - Fax:323-231-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190838AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility