Active NPI
Laura Lee, DDS
- Dentist
- La Habra, CA
National Provider Identifier
1730476318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43631
- Practice address
- 744 W la Habra Blvd
La Habra, CA 90631-5313 - Phone
- (562) 691-0738
- Fax
- (562) 690-6360
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 43631 | CA | Primary |
Addresses
Primary practice location
744 W la Habra Blvd
La Habra, CA 90631-5313
Mailing address
744 W la Habra Blvd
La Habra, CA 90631-5313
Phone (562) 691-0738
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mazloomi la Habra DDS PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- La Habra, CA
- NPI 1275402489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1730476318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W LA HABRA BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315313",
"telephone_number": "562-691-0738",
"fax_number": "562-690-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 W LA HABRA BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315313",
"telephone_number": "562-691-0738",
"fax_number": "562-690-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.