OrganizationActive
The Lighthouse-Home for Medically Fragile Children
NPI 1639668114 · Recovery Care Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1639668114
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Amos, Executive Director(310) 904-4645
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
206 W Century Blvd
Los Angeles, CA 90003-4502
Phone: (310) 904-4645
Approximate (ZIP-level) locationGet directions
Mailing address
30845 Burning Tree Dr
Canyon Lake, CA 92587-7503
Other names (DBA / former)
- Doing business as
- Century Lighthouse Recovery
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.