Active NPI
Lassak Glow
- Pediatric Dentistry
- Panorama City, CA
National Provider Identifier
1093623233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- LASSAK GLOW
- Practice address
- 13606 Roscoe Blvd Unit P3
Panorama City, CA 91402-3906 - Phone
- (747) 321-1509
- NPI assigned
- Aug 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucia Lassakova
- Title
- Owner
- Phone
- (747) 321-1509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
13606 Roscoe Blvd Unit P3
Panorama City, CA 91402-3906
Mailing address
13606 Roscoe Blvd Unit P3
Panorama City, CA 91402-3906
Phone (747) 321-1509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787961600000",
"number": "1093623233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13606 ROSCOE BLVD UNIT P3",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914023906",
"telephone_number": "747-321-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13606 ROSCOE BLVD UNIT P3",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914023906",
"telephone_number": "747-321-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASSAK GLOW",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A",
"authorized_official_last_name": "LASSAKOVA",
"authorized_official_first_name": "LUCIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "747-321-1509"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.