MS. LILLIAN GRAY MGONJA REGISTERED NURSE
NPI 1851624571
Registered Nurse - Administrator in Compton, CA
Active since September 14, 2009
623 S. LONG BEACH BLVD, SUITE A/B, COMPTON, CA 90221(310) 637-0341(310) 637-0341 Get Directions Write a Review
About Ms. Lillian Gray Mgonja Registered Nurse NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LILLIAN GRAY MGONJA REGISTERED NURSE (NPI 1851624571) is an individual administrator provider in Compton, California, licensed in California (581433) and active in the NPI registry since September 2009.
NPPES Registry Identity
NPI1851624571
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMS. LILLIAN GRAY MGONJACredential: REGISTERED NURSE
Location Address623 S. LONG BEACH BLVD, SUITE A/BCompton, CA 90221
Mailing Address623 S. Long Beach Blvd, Suite A & BLong Beach, CA 90221 · (562) 233-7970 · Fax (562) 283-1000
Phone(310) 637-0341
Fax(310) 637-0341
Sole ProprietorYes
Enumeration DateSeptember 14, 2009
✔ NPI 1851624571 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in CA · 581433
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 581333 (CA)
623 S. LONG BEACH BLVD, Compton, CA 90221
Other Names 1
Professional Name (2)Miss Lillian John Mmari Rn
Other Identifiers 2
Other581433CA · Registerd Nurse
Other581433CA · Rn License
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851624571, enumerated as an "individual" on September 14, 2009.
The provider is located at 623 S. LONG BEACH BLVD SUITE A/B COMPTON, CA 90221 and the phone number is (310) 637-0341.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
