Organization Active NPI

William G Lang MD a Professional Corporation

  • Internal Medicine Physician
  • Marina del Rey, CA
National Provider Identifier
1578643847
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WILLIAM G LANG MD A PROFESSIONAL CORPORATION
Practice address
4644 Lincoln Blvd.
Suite 111
Marina del Rey, CA 90292-6374
Phone
(310) 536-8200
Fax
(310) 536-8240
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
William G Lang, MD
Title
President
Phone
(310) 536-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4644 Lincoln Blvd.
Suite 111
Marina del Rey, CA 90292-6374

Mailing address

4644 Lincoln Blvd.
Suite 111
Marina del Rey, CA 90292-6374
Phone (310) 536-8200

National Provider Directory

National Provider Directory

Locations

5230 Pacific Concourse Dr
Ste 102
Los Angeles, CA 90045
Phone (310) 306-6966

4644 Lincoln Blvd
Ste 111
Marina del Rey, CA 90292
Phone (310) 306-6966

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1578643847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD.",
            "address_2": "SUITE 111",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926374",
            "telephone_number": "310-536-8200",
            "fax_number": "310-536-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD.",
            "address_2": "SUITE 111",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926374",
            "telephone_number": "310-536-8200",
            "fax_number": "310-536-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G LANG MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-536-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.