Gilian Neiditch Lata, LAC, DIPL OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

11249 Issued in CA

Practice address

12500 Riverside Dr Ste 202
Valley Village, CA 91607-3441

Phone

(818) 763-2928

Fax

(818) 763-2928

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1184708570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 202",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073441",
            "telephone_number": "818-763-2928",
            "fax_number": "818-763-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 RIVERSIDE DR STE 202",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073441",
            "telephone_number": "818-763-2928",
            "fax_number": "818-763-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATA",
        "first_name": "GILIAN",
        "middle_name": "NEIDITCH",
        "name_prefix": "Mrs.",
        "credential": "LAC, DIPL OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Krpan, DC
• Jody Kussin, PH.D.
• Jane Kwon, LMFT
• Carlos Manuel Laack, LMFT
• Andrew Lawrence Lande, LMFT
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• Paige Elaine Lauren-Taylor, AMFT
• Allison Lazar, BCBA
• Sharona C Lazar, RD

• Acupuncturist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.