Provider Demographics
NPI:1831939677
Name:LIGHTNING CAL HEALTHCARE SERVICE
Entity type:Organization
Organization Name:LIGHTNING CAL HEALTHCARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:NNENNA
Authorized Official - Middle Name:EUCHERIA
Authorized Official - Last Name:AKPAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-283-0362
Mailing Address - Street 1:8803 S. 8TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305
Mailing Address - Country:US
Mailing Address - Phone:424-283-0362
Mailing Address - Fax:
Practice Address - Street 1:8803 S. 8TH AVENUE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305
Practice Address - Country:US
Practice Address - Phone:424-283-0362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)