Organization Active NPI

Life Power Group

Doing business as 5G Dental Group

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1528662921
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFE POWER GROUP
Doing business as
5G Dental Group
Practice address
11901 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-2783
Phone
(626) 986-8226
NPI assigned
Nov 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Mr. Du Xu
Title
Manager
Phone
(626) 641-3736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11901 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-2783

Mailing address

11901 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-2783
Phone (626) 986-8226

Other names 1

  • 5G Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

11901 Santa Monica Blvd
Ste 203
Los Angeles, CA 90025
Phone (310) 575-1577

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1528662921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252783",
            "telephone_number": "626-986-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 SANTA MONICA BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252783",
            "telephone_number": "626-986-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE POWER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "DU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-641-3736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "5G Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 25, 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.