Active NPI
Laser and Laparoscopic Inst. of West Covina
- Specialist
- West Covina, CA
National Provider Identifier
1124233812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- LASER AND LAPAROSCOPIC INST. OF WEST COVINA
- Practice address
- 222 N Sunset Ave
#C
West Covina, CA 91790-2278 - Phone
- (626) 338-7359
- Fax
- (626) 960-3932
- NPI assigned
- May 14, 2007
- 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
- Mrs. Amanda Loera
- Title
- Office Manager
- Phone
- (626) 338-7359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
222 N Sunset Ave
#C
West Covina, CA 91790-2278
Mailing address
222 N Sunset Ave
#C
West Covina, CA 91790-2278
Phone (626) 338-7359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Laser and Laparoscopic Inst of West Covina
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Legal Medicine
- West Covina, CA
- NPI 1144385428
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124233812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N SUNSET AVE",
"address_2": "#C",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902278",
"telephone_number": "626-338-7359",
"fax_number": "626-960-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N SUNSET AVE",
"address_2": "#C",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902278",
"telephone_number": "626-338-7359",
"fax_number": "626-960-3932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASER AND LAPAROSCOPIC INST. OF WEST COVINA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOERA",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "626-338-7359",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.