Organization Active NPI

Cosmetic Laser Medspa, Inc.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1740718345
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COSMETIC LASER MEDSPA, INC.
Practice address
1535 S la Cienega Blvd
Los Angeles, CA 90035-3714
Phone
(310) 261-1313
NPI assigned
May 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Farshad Sinai
Title
Manager
Phone
(310) 261-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1535 S la Cienega Blvd
Los Angeles, CA 90035-3714

Mailing address

1535 S la Cienega Blvd
Los Angeles, CA 90035-3714

National Provider Directory

National Provider Directory

Locations

1535 S La Cienega Blvd
Los Angeles, CA 90035
Phone (310) 261-1313

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1740718345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 S LA CIENEGA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353714",
            "telephone_number": "310-261-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC LASER MEDSPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "SINAI",
        "authorized_official_first_name": "FARSHAD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-261-1313"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 25, 2017; 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.