Edward B Lazor MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C19592 Issued in CA

Legal business name

EDWARD B LAZOR MD INC

Practice address

6360 Wilshire Blvd
Suite 202
Los Angeles, CA 90048-5601

Phone

(323) 653-4220

Fax

(323) 653-4222

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Edward B Lazor, MD

Title

Owner President of Inc

Phone

(323) 653-4220

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1659435543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485601",
            "telephone_number": "323-653-4220",
            "fax_number": "323-653-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD",
            "address_2": "SUITE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485601",
            "telephone_number": "323-653-4220",
            "fax_number": "323-653-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD B LAZOR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LAZOR",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER PRESIDENT OF INC",
        "authorized_official_telephone_number": "323-653-4220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C19592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C195920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moses O Edun
• Joy L Edvalson, NP
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• Edward a Alexander ,MD
• Edward a Gabriel MD, Inc
• Edward E Black DDS,Ms,Inc
• Edward J Feldman, M.D. Apc
• Edward J. McPherson MD a Professional Medical Corporation
• Edward J. Share M.D.
• Edward K Lew DDS Inc

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.