Healthcare Provider Details

I. General information

NPI: 1326727959
Provider Name (Legal Business Name): VISION Y COMPROMISO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N ALAMEDA ST FL 3
LOS ANGELES CA
90012-1804
US

IV. Provider business mailing address

15808 HESPERIAN BLVD UNIT 708
SAN LORENZO CA
94580-5057
US

V. Phone/Fax

Practice location:
  • Phone: 213-613-0630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA LEMUS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-303-3444