Lauri I an MD a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAURI I AN MD A MEDICAL CORPORATION

Practice address

2655 W Olympic Blvd Ste 207
Los Angeles, CA 90006-2800

Phone

(213) 388-7887

NPI assigned

May 10, 2021

Last updated

May 10, 2021By 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

Lauri An, MDNPI 1134168891

Title

President/MD

Phone

(213) 388-7887

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauri I An, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1134168891
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1164006714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-388-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-388-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURI I AN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "AN",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "213-388-7887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "A42565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Laurent-Varava, MA
• Dennis Laurents, PHD
• Michael Vincent Laureola, DDS
• Martiniana Laureta
• Norydel Tuiza Laureta, RN
• Lauri I. an
• Marisol Andrea Lauri, OD
• Carmella Lauria White
• Michael Vincent Lauria
• Anna Danica Lauron, RD

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.

Verify at the official NPI Registry.