Organization Active NPI

Downey Laser Institute, Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1356725899
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40547 Issued in CA
Legal business name
DOWNEY LASER INSTITUTE, INC.
Practice address
2007 Wilshire Blvd
Ste 522
Los Angeles, CA 90057-3506
Phone
(213) 805-6005
Fax
(213) 805-6001
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Mr. Carlos F Montoya Sr., M.D.NPI 1063420974
Title
President
Phone
(714) 393-8809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A40547 CA Primary

Addresses

Primary practice location

2007 Wilshire Blvd
Ste 522
Los Angeles, CA 90057-3506

Mailing address

10642 Downey Ave
Ste 205
Downey, CA 90241-3442

National Provider Directory

National Provider Directory
Tax ID family
CMMP Clinica de Ojos2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2007 Wilshire Blvd
Ste 522
Los Angeles, CA 90057
Phone (213) 805-6005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1356725899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10642 DOWNEY AVE",
            "address_2": "STE 205",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 WILSHIRE BLVD",
            "address_2": "STE 522",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573506",
            "telephone_number": "213-805-6005",
            "fax_number": "213-805-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNEY LASER INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-393-8809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40547",
            "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 Jul 15, 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.