{
"Npi": {
"NPI": "1578990644",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HIS GIFTS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12204 SOUTH SAN PEDRO STREET LOS ANGELES, CA 90061",
"SecondLineMailingAddress": "10910 LONG BEACH BLVD STE 103",
"MailingAddressCityName": "LYNWOOD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90262",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-420-3512",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12204 SOUTH SAN PEDRO STREET LOS ANGELES, CA 90061",
"SecondLinePracticeLocationAddress": "10910 LONG BEACH BLVD SUITE 103",
"PracticeLocationAddressCityName": "LYNWOOD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90262",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-420-3512",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/03/2013",
"LastUpdateDate": "10/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FERGUSON",
"AuthorizedOfficialFirstName": "DONNA",
"AuthorizedOfficialMiddleName": "MARTREICE",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "310-420-3512",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": "LCS14553",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}