Lawrence Chespak, Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G62697 Issued in CA

Legal business name

LAWRENCE CHESPAK, APC

Practice address

5554 Reseda Blvd
Suite 103
Tarzana, CA 91356-2200

Phone

(818) 707-7704

Fax

(818) 708-7707

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence Walter Chespak, M.D.

Title

President

Phone

(818) 707-7704

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• VITAL SPEECH AND SWALLOW, APC Doing business as

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1407063837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD",
            "address_2": "SUITE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562200",
            "telephone_number": "818-707-7704",
            "fax_number": "818-708-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 RESEDA BLVD",
            "address_2": "SUITE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562200",
            "telephone_number": "818-707-7704",
            "fax_number": "818-708-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE CHESPAK, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "CHESPAK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-707-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G62697",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "CCC9644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "ZZZ67240Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "CCC9644",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER",
            "identifier": "704362",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G62697",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL SPEECH AND SWALLOW, APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracy Norman Lawrence, M.D.
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• Leslie Marie Layton, D.C.
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• Specialist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.