Lauri Andrea Malter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

036975 Issued in CA

Practice address

8907 Wilshire Blvd Ste 260
Beverly Hills, CA 90211-1929

Phone

(310) 281-7606

NPI assigned

Mar 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1659512382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67585",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900670585",
            "telephone_number": "424-343-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 WILSHIRE BLVD STE 260",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111929",
            "telephone_number": "310-281-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTER",
        "first_name": "LAURI",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "036975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Malka, D.D.S
• Natasha Malkani, MD
• Moira Regina Mallach
• Jared Adam Maloff, PSY.D.
• Derek John Maloney, MD
• Ethan-Ira B Mamuric, DPT
• Talayeh Manafzadeh Tabriz
• Management, Inc.
• Sherol Manavi, PHYSICIAN ASSISTANT
• Avner Manzoor Mandel, MD

• Dentist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.