NPIMap

Organization Active NPI

Dr. Lum & Associates

  • General Practice Dentistry
  • Carson, CA
National Provider Identifier
1124272356
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25939 Issued in CA
Legal business name
DR. LUM & ASSOCIATES
Practice address
21847 Avalon Blvd
Carson, CA 90745-3304
Phone
(310) 549-9710
Fax
(310) 549-4049
NPI assigned
Nov 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. Randolph Lum, DDSNPI 1649461088
Title
Owner
Phone
(310) 549-0710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 25939 CA Primary

Addresses

Primary practice location

21847 Avalon Blvd
Carson, CA 90745-3304

Mailing address

21847 Avalon Blvd
Carson, CA 90745-3304
Phone (310) 549-9710

National Provider Directory

National Provider Directory

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": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1124272356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21847 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453304",
            "telephone_number": "310-549-9710",
            "fax_number": "310-549-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21847 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453304",
            "telephone_number": "310-549-9710",
            "fax_number": "310-549-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LUM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-549-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.