| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1023551900 | FRED JEFFERSON | 1448 E 142ND ST | COMPTON | CA | 902223702 | |||
| 1659561223 | FRED JEFFERSON MEMORIAL HOME FOR BOYS | 152 W WALNUT ST STE 150 | GARDENA | CA | 902483146 | |||
| 1679016554 | FRED JEFFERSON MEMORIAL HOME FOR BOYS | 152 W WALNUT ST | GARDENA | CA | 902483141 |