Healthcare Provider Details
I. General information
NPI: 1215885983
Provider Name (Legal Business Name): POMPA GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
133 LOS CERRITOS MALL
CERRITOS CA
90703-5420
US
IV. Provider business mailing address
4109 E COMPTON BLVD
COMPTON CA
90221-3662
US
V. Phone/Fax
- Phone: 424-379-7307
- Fax:
- Phone: 562-449-9632
- Fax: 562-449-9632
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRYAN
A
POMPA
Title or Position: CEO
Credential:
Phone: 562-449-9632