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OC LIGHT HOUSE
NPI 1376191148
Student in an Organized Health Care Education/Training Program in Tustin, CA

Active since August 26, 2019
150 S PROSPECT AVE, TUSTIN, CA 92780(310) 505-7717 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oc Light House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OC LIGHT HOUSE (NPI 1376191148) is a healthcare organization registered as a student in an organized health care education/training program in Tustin, California and active in the NPI registry since August 2019. The organization lists Maria Christina Eyssallenne, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1376191148
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameOC LIGHT HOUSE
Location Address150 S PROSPECT AVETustin, CA 92780-3617
Mailing Address150 S Prospect AveTustin, CA 92780-3617 · (310) 505-7717
Phone(310) 505-7717
Organization SubpartNo
Authorized OfficialMaria Christina EyssallenneManaging Member · (310) 505-7717
Enumeration DateAugust 26, 2019
✔ NPI 1376191148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
150 S PROSPECT AVE, Tustin, CA 92780
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASIAN MEDICINE INSTITUTE, INC.
Acupuncturist
150 S PROSPECT AVE
TUSTIN, CA 92780
Orange County (714) 731-3881
DR. JANE HYUN KIM D.C.
Chiropractor
150 S PROSPECT AVE
TUSTIN, CA 92780
Orange County (714) 731-3881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oc Light House's NPI number?

The NPI number for Oc Light House is 1376191148. It was assigned to this organization in the NPPES registry on August 26, 2019.

Where is Oc Light House located?

Oc Light House is located at 150 S Prospect Ave, Tustin, CA 92780. The listed phone number is (310) 505-7717.

What is Oc Light House's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Oc Light House was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.