NPI |
1205334182 |
|
Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Last Name Legal Name |
LAM |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider First Name |
MARIA |
The first name of the provider, if the provider
is an individual. |
Provider Middle Name |
DE LOS ANGELES |
The middle name of the provider, if the provider
is an individual. |
Provider First Line Business Practice Location Address |
5352 LAUREL CANYON BLVD STE 100 |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address City Name |
NORTH HOLLYWOOD |
The other name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
Provider Business Practice Location Address State Name |
CA |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
916074923 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
7472541154 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
1/25/2018 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
1/25/2018 |
The date that a record was last updated or changed. |
Provider Gender Code |
F |
The country code in the location address of the provider being identified. |
Healthcare Provider Taxonomy Code 1 |
103K00000X |
The telephone number associated with the location address of the provider being identified. |
Provider License Number 1 |
00001955 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider License Number State Code 1 |
CA |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |