Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oc Light House

Organization Student in an Organized Health Care Education/Training Program · NPI 1376191148

Oc Light House is a Student in an Organized Health Care Education/Training Program in Tustin, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

150 S Prospect Ave
Tustin, CA 92780-3617
Phone: (310) 505-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376191148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Christina Eyssallenne — Managing Member · (310) 505-7717
NPI enumeratedAugust 26, 2019
Last updated in NPPESAugust 26, 2019
Mailing address150 S Prospect Ave, Tustin, CA 92780-3617

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