MEDICARE: L & A CARE CORPORATION

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	251G00000X	Community Based Hospice Care Agency	980001186	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750383071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & A CARE CORPORATION

Provider Business Mailing Address
First Line	:	5000 OVERLAND AVE
Second Line	:	SUITE 101
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4995
Country	:	US
Telephone Number	:	310-202-7693
Fax Number	:	310-841-2308

Provider Business Practice Location Address
First Line	:	5000 OVERLAND AVE
Second Line	:	SUITE 101
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4995
Country	:	US
Telephone Number	:	310-202-7693
Fax Number	:	310-841-2308

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LENA MICHELLE BEKER
Credential	:
Telephone Number	:	310-202-7693

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	10/02/2012

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Directions to “L & A CARE CORPORATION ” Practice Location

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