Healthcare Provider Details

I. General information

NPI: 1437082153
Provider Name (Legal Business Name): KEMMY ADERIBIGBE-LAINFIESTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5838 OVERHILL DR STE 3
LOS ANGELES CA
90043-2738
US

IV. Provider business mailing address

5838 OVERHILL DR STE 3
LOS ANGELES CA
90043-2738
US

V. Phone/Fax

Practice location:
  • Phone: 310-995-8360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: