Provider Demographics
NPI:1407725245
Name:ASSSOCIATED MOTHERS IN ACTION
Entity type:Organization
Organization Name:ASSSOCIATED MOTHERS IN ACTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LANEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-612-9843
Mailing Address - Street 1:1302 W 137TH ST
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90222-3216
Mailing Address - Country:US
Mailing Address - Phone:310-612-9843
Mailing Address - Fax:
Practice Address - Street 1:1919 E EL SEGUNDO
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222
Practice Address - Country:US
Practice Address - Phone:310-612-9843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier