Organization · NPI-2

A Lightened Path

Lodging · Los Angeles, CA

NPI number1508759366
StatusActive
Last updated in NPPESMay 30, 2025

Details

NPI
1508759366
Entity type
Organization (NPI-2)
Legal business name
A Lightened Path
Organization subpart
No
Enumeration date
May 30, 2025
Certification date
May 30, 2025
Last updated
May 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
177F00000X Lodging––Yes
251B00000X Case Management––

Practice location

3310 W Vernon Ave
Los Angeles, CA 90008-5230

Phone 323-399-2595

Mailing address

3310 W Vernon Ave
Los Angeles, CA 90008-5230

Phone 323-399-2595

Authorized official

Nina Tatiana Gray
Ceo
3233992595

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