Faraz Fred Laaly, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

43626 Issued in CA

Practice address

4301 N Figueroa St
Los Angeles, CA 90065-3013

Phone

(323) 223-1517

Fax

(323) 223-1528

NPI assigned

May 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mir Dental Corporation

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1508045907
  NPD (past)

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273881600000",
    "number": "1548588486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 W CLARK AVE APT A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052952",
            "telephone_number": "310-210-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653013",
            "telephone_number": "323-223-1517",
            "fax_number": "323-223-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAALY",
        "first_name": "FARAZ",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "43626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Tu-Trong Minh La
• Vincent La
• Wipada La, P.A.
• Y Thuan La
• La'S Finest Home Health, Inc.
• Trevor Laam
• Alicia Zabella Laano, MD
• Lab on a Wheels, LLC
• Lab on Wheels
• Lab on Wheels, LLC

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; 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.