Organization Active NPI

Lawrence H Resnick MD a Prof Corp

  • Diagnostic Radiology Physician
  • Sherman Oaks, CA
National Provider Identifier
1578595161
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LAWRENCE H RESNICK MD A PROF CORP
Practice address
15335 Morrison St
Suite 304
Sherman Oaks, CA 91403-1513
Phone
(818) 528-3466
Fax
(818) 528-3464
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Dr. Lawrence H Resnick, M.D.
Title
President
Phone
(818) 528-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

15335 Morrison St
Suite 304
Sherman Oaks, CA 91403-1513

Mailing address

15335 Morrison St
Suite 304
Sherman Oaks, CA 91403-1513
Phone (818) 528-3466

Other identifiers 2

IdentifierTypeStateIssuer
GR0083060MedicaidCA
ZZZ64205ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

12100 Valley Blvd
El Monte, CA 91732
Phone (310) 980-3065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1578595161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST",
            "address_2": "SUITE 304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031513",
            "telephone_number": "818-528-3466",
            "fax_number": "818-528-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15335 MORRISON ST",
            "address_2": "SUITE 304",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031513",
            "telephone_number": "818-528-3466",
            "fax_number": "818-528-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE H RESNICK MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-528-3466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ64205Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.