Lazcano Family Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

101016 Issued in CA

Legal business name

LAZCANO FAMILY DENTAL GROUP

Practice address

15355 Sherman Way
Suite P
Van Nuys, CA 91406-4200

Phone

(954) 205-3183

NPI assigned

Apr 9, 2017

Organization subpart

No

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

Authorized official

Name

Maritza Lazcano, DDS

Title

General Dentist

Phone

(954) 205-3183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491696000000",
    "number": "1174056931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY",
            "address_2": "SUITE P",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "954-205-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY",
            "address_2": "SUITE P",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "954-205-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZCANO FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-09",
        "last_updated": "2017-04-09",
        "status": "A",
        "authorized_official_last_name": "LAZCANO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "954-205-3183",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "101016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendrick Law, MD
• Lawrence Wellness Group
• Daniel Lax
• Deborah Merrill Lazar
• Lazaro V. Alonso, M.D., a Medical Corporation
• Eleanor Elizabeth Lazenby
• Brandon Long Thanh Le
• Dat Vinh Le, DC
• Hanh T Le, O.D.
• Nhi Quang Le, PHARMD

• Dentist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; 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.