Lax Medical Group, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LAX MEDICAL GROUP, INC

Practice address

5450 Lincoln Blvd
Playa Vista, CA 90094-2002

Phone

(310) 867-5556

Fax

(888) 302-0594

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Samson Yirgu

Title

President

Phone

(310) 867-5556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1508501503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD # 884",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 LINCOLN BLVD",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942002",
            "telephone_number": "310-867-5556",
            "fax_number": "888-302-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAX MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "YIRGU",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-867-5556"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kay, M.F.T.
• Iana Kazantseva
• Katherine Patricia Kempf, MD
• Aletta Kennedy, MS, RD
• Christine A Lam, MD
• Lax Surgery Center LLC
• Elena Lee, PHARMD
• Veronica Ann Lewis, NP
• Zheng Li
• Life Worth Living Therapy,a Licensed Marriage and Family Therapist,Inc

• Orthopaedic Surgery Physician in Playa Vista, CA
• Providers in Playa Vista, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.