Organization Active NPI

Jennifer Lang MD Inc a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1194038604
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A96071 Issued in CA
Legal business name
JENNIFER LANG MD INC A MEDICAL CORPORATION
Practice address
10309 Santa Monica Blvd
#300
Los Angeles, CA 90025-5007
Phone
(310) 285-9900
Fax
(310) 553-7020
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Jennifer Lang, MD
Title
Owner/President
Phone
(917) 282-7986

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X A96071 CA Primary
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X A96071 CA

Addresses

Primary practice location

10309 Santa Monica Blvd
#300
Los Angeles, CA 90025-5007

Mailing address

10309 Santa Monica Blvd
Suite 300
Los Angeles, CA 90025-5007
Phone (310) 282-9900

National Provider Directory

National Provider Directory

Locations

1560 E Chevy Chase Dr
Ste 200
Glendale, CA 91206
Phone (818) 242-3445

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1194038604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-282-9900",
            "fax_number": "310-553-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD",
            "address_2": "#300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-285-9900",
            "fax_number": "310-553-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LANG MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-282-7986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A96071",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A96071",
            "primary": false
        }
    ],
    "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 Feb 17, 2011; 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.