Active NPI
Venicia Lagun
- Homemaker
- Los Angeles, CA
National Provider Identifier
1134834302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 194700876
- Practice address
- 4206 7TH Ave
Los Angeles, CA 90008-4729 - Phone
- (310) 903-0049
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 194700876 | CA | Primary |
Addresses
Primary practice location
4206 7TH Ave
Los Angeles, CA 90008-4729
Mailing address
3894 Crenshaw Blvd # 56165
Los Angeles, CA 90008-6049
Phone (844) 524-6463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194700876 | CA | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1134834302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3894 CRENSHAW BLVD # 56165",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900086049",
"telephone_number": "844-524-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4206 7TH AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900084729",
"telephone_number": "310-903-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGUN",
"first_name": "VENICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "CA",
"license": "194700876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.