Sam a. Lavi DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41939 Issued in CA

Legal business name

SAM A. LAVI DMD INC

Practice address

617 S Olive St Ste 800
Los Angeles, CA 90014-1629

Phone

(213) 623-2212

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shahram Abraham Lavi, DMD

Title

President

Phone

(213) 623-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sam a Lavi DMD Inc2 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.

• Sam a. Lavi DMD Inc

  • Dental Clinic/Center
  • Studio City, CA
  • NPI 1659579142
  NPD tax ID

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467658997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S OLIVE ST STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141629",
            "telephone_number": "213-623-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S OLIVE ST STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900141629",
            "telephone_number": "213-623-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM A. LAVI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_middle_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-623-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "41939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salvo Physician Practice PA
• Dawn Elizabeth Salyards, M.S., CCC-SLP
• Caroline Antonia Salz, MA, LMFT
• Garrett Salzman, MD
• Mark B. Salzman, MD
• Sam Bakshian MD a Medical Corporation
• Sam Breen, Licensed Marriage and Family Therapist, Inc.
• Sam Ghalili MD Inc
• Amy Evette Sam Kwarteng, MD
• Sam Sanandaji, DPM

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.