MS. LILLIAN GRAY MGONJA REGISTERED NURSE NPI 1851624571

NPI Information

NPI: 1851624571
Provider Name: MS. LILLIAN GRAY MGONJA, REGISTERED NURSE
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
623 S. LONG BEACH BLVD
SUITE A/B
COMPTON, CA
ZIP 90221
Phone: (310) 637-0341
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MS. Lillian Gray Mgonja, REGISTERED NURSE is an administrator registered nurse in Compton, CA. MS. Lillian Gray Mgonja, REGISTERED NURSE NPI is 1851624571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

623 S. LONG BEACH BLVD
SUITE A/B
COMPTON, CA
ZIP 90221
Phone: (310) 637-0341
Fax: (310) 637-0341

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	581333	CALIFORNIA	No
2	163WA2000X	Registered Nurse	Administrator	581433	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	581433	OTHER	CALIFORNIA	REGISTERD NURSE
2	581433	OTHER	CALIFORNIA	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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