NPIMap

Organization Active NPI

Lapalma Optical Inc

  • Optician
  • La Palma, CA
National Provider Identifier
1710696588
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
LAPALMA OPTICAL INC
Practice address
4945 La Palma Ave
La Palma, CA 90623-2054
Phone
(562) 348-0074
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Jeong Moon KimNPI 1821634270
Title
Ceo
Phone
(909) 396-1837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

4945 La Palma Ave
La Palma, CA 90623-2054

Mailing address

4945 La Palma Ave
La Palma, CA 90623-2054

National Provider Directory

National Provider Directory

Locations

4945 La Palma Ave
La Palma, CA 90623
Phone (562) 348-0074

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1710696588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232054",
            "telephone_number": "562-348-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPALMA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "MOON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-396-1837"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Palma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.