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NPI 1932308426ActiveOrganization· Exclusive Provider Organization· Lemon Grove, CA

Exclusive Provider Organization in Lemon Grove, California, registered in NPPES in July 2007. The authorized official on file is Olivier Thompson, Owner.

Overview

NPI1932308426
StatusActive
Entity typeOrganization
NPI issuedJul 13, 2007
Last updated in NPPESJul 14, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years