Lice Clinics of America Lax

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LICE CLINICS OF AMERICA LAX

Practice address

5587 W Manchester Ave
Los Angeles, CA 90045-4413

Phone

(310) 999-5343

NPI assigned

Dec 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Mario Danny Esquivel Sr.

Title

Owner/Tech

Phone

(310) 999-5343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1578078127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 BRAY ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90230",
            "telephone_number": "310-999-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5587 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454413",
            "telephone_number": "310-999-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE CLINICS OF AMERICA LAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "ESQUIVEL",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "DANNY",
        "authorized_official_title_or_position": "OWNER/TECH",
        "authorized_official_telephone_number": "310-999-5343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Liborio
• Hannah Hageman Licari, PA-C
• James Warren Licavoli
• Kristin Licciardo, L.C.S.W.
• Roman Daniel Liccini
• Christina Licea
• Gabriela Licea
• Tomas Miguel Licea
• Camilla Divina Galut Licerio
• Eliot Licht, M.D.

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.