Laurel Canyon LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1043 Issued in NM

Legal business name

LAUREL CANYON LLC

Doing business as

Laurel Canyon Healthcare

Practice address

10101 Lagrima de Oro NE
Albuquerque, NM 87111-6022

Phone

(505) 298-1231

Fax

(505) 298-2098

NPI assigned

Aug 31, 2006

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan Zampini

Title

Member

Phone

(505) 304-5152

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laurel Canyon Healthcare Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1003927807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 LAGRIMA DE ORO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116022",
            "telephone_number": "505-298-1231",
            "fax_number": "505-298-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 LAGRIMA DE ORO NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116022",
            "telephone_number": "505-298-1231",
            "fax_number": "505-298-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CANYON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ZAMPINI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-304-5152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "3200862609",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79123295",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Canyon Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marci Laurel, SLP
• Leah Joy Lauren, DDS

• Skilled Nursing Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.