Individual provider Active NPI

Lanny David Hajdu, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1003176017
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G43452 Issued in CA
Practice address
9321 Burton Way Apt B
Beverly Hills, CA 90210-3647
Phone
(310) 985-4231
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G43452 CA Primary

Addresses

Primary practice location

9321 Burton Way Apt B
Beverly Hills, CA 90210-3647

Mailing address

9321 Burton Way Apt B
Beverly Hills, CA 90210-3647
Phone (310) 985-4231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226002633 CA Practitioner - Other (Physician) 4082141338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Albert Einstein College of Medicine of Yeshiva University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8383 Wilshire Blvd
Suite 889
Beverly Hills, CA 90211-2400
Phone (323) 456-8600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G43452CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lanny David Hajdu, M.D. a Medical Corporation CurrentSince Nov 12, 2024 Accepting new patients

Locations

8383 Wilshire Blvd
Ste 800
Beverly Hills, CA 90211
Phone (310) 271-7176

8383 Wilshire Blvd
Ste 889
Beverly Hills, CA 90211
Phone (323) 456-8600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1003176017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 BURTON WAY APT B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103647",
            "telephone_number": "310-985-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 BURTON WAY APT B",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103647",
            "telephone_number": "310-985-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJDU",
        "first_name": "LANNY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G43452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.