Organization Active NPI

Office of Alan Leventhal P.C.

  • Eyewear Supplier
  • South Pasadena, CA
National Provider Identifier
1598057879
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
SL5153 Issued in CA
Legal business name
OFFICE OF ALAN LEVENTHAL P.C.
Practice address
1103 Fair Oaks Ave
South Pasadena, CA 91030-3311
Phone
(626) 441-0770
Fax
(626) 441-0990
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Mr. Ben Lu
Title
Manager
Phone
(818) 957-8942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X SL5153 CA Primary

Addresses

Primary practice location

1103 Fair Oaks Ave
South Pasadena, CA 91030-3311

Mailing address

1103 Fair Oaks Ave
South Pasadena, CA 91030-3311
Phone (626) 441-0770

Other identifiers 1

IdentifierTypeStateIssuer
CA6075OtherCAEYEMED

National Provider Directory

National Provider Directory
Tax ID family
Office of Alan Leventhal PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1598057879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303311",
            "telephone_number": "626-441-0770",
            "fax_number": "626-441-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FAIR OAKS AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303311",
            "telephone_number": "626-441-0770",
            "fax_number": "626-441-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF ALAN LEVENTHAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-957-8942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "SL5153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CA6075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.