Active NPI
Tiffany Lao
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1609244334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73446
- Practice address
- 4526 Eagle Rock Blvd Apt 4
Los Angeles, CA 90041-3259 - Phone
- (323) 217-2852
- NPI assigned
- Sep 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73446 | CA | Primary |
Addresses
Primary practice location
4526 Eagle Rock Blvd Apt 4
Los Angeles, CA 90041-3259
Mailing address
4526 Eagle Rock Blvd Apt 4
Los Angeles, CA 90041-3259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73446 | Other | CA | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1609244334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4526 EAGLE ROCK BLVD APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4526 EAGLE ROCK BLVD APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413259",
"telephone_number": "323-217-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAO",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-11",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "73446",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.