MEDICARE: LA LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1215860614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA LABS LLC

Provider Business Mailing Address
First Line	:	24309 NARBONNE AVE STE 220
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1145
Country	:	US
Telephone Number	:	424-270-3041
Fax Number	:

Provider Business Practice Location Address
First Line	:	24309 NARBONNE AVE STE 220
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1145
Country	:	US
Telephone Number	:	424-270-3041
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	JOCELYN ESPINOZA
Credential	:
Telephone Number	:	424-270-3041

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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