LAC HARBOR UCLA MEDICAL CENTER
NPI 1073955985
Clinic/Center in Harbor City, CA

NPI Status: Active since July 19, 2013

Contact Information

1403 LOMITA BLVD STE 200
HARBOR CITY, CA
ZIP 90710
Phone: (310) 534-6203

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
CLIA Number: 05D2089114
CLIA Cert. Type: Other - HOSPITAL CLINIC
CLIA Exp. Date: 06-03-2027

About LAC HARBOR UCLA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Lac Harbor Ucla Medical Center, a provider established in Harbor City, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1073955985 assigned on July 2013. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Lac Harbor Ucla Medical Center. The authorized official of this NPI record is Mr. Arthur Bernal (Associate Hospital Administrator)

NPI: 1073955985
Provider Legal Name: COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Other Organization Name: LAC HARBOR UCLA MEDICAL CENTER
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1403 LOMITA BLVD STE 200 HARBOR CITY, CA 90710
Location Phone: (310) 534-6203
Mailing Address: 1000 W CARSON ST TORRANCE, CA 90502
Mailing Phone: (310) 222-2101
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 07-19-2013
Last Update Date: 07-19-2013
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center
Taxonomy Code: 261Q00000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. ARTHUR BERNAL
Authorized Official Title: ASSOCIATE HOSPITAL ADMINISTRATOR
Authorized Official Phone: (323) 890-7774

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
HAP40376F	MEDICAID (05)	CA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D2089114
Facility Type: Other - HOSPITAL CLINIC
Certificate Effective Date: June 04, 2025
Certificate Expiration Date: June 03, 2027
Laboratory Director: RACHEL RANGWALA MD
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Lac Harbor Ucla Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073955985, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 5 + 1 + 0 + 9 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1073955985.