Mgonja, Lillian Gray

Mgonja, Lillian Gray is an sole proprietor health care provider with primary practice located at 623 S. Long Beach Blvd Suite A/B, Compton CA 90221. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Administrator. Nursing Service Providers / Administrator is her primary health care specialty. Mgonja, Lillian Gray can be contacted via phone (310) 637-0341.

Contact Information

Primary practice address
623 S. Long Beach Blvd Suite A/B Compton CA 90221
Phone: (310) 637-0341
Fax: (310) 637-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 581333 California
Nursing Service Providers / Administrator 163WA2000X 581433 California

Profile Details

NPI number 1851624571
LBN Legal business name Mgonja, Lillian Gray
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851624571 NPPES
California Other 581433 RN LICENSE
California Other 581433 RN LICENSE

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